Pestana, Ivo Alexander

Pestana, Ivo Alexander is an individual health care provider with primary practice located at 701 Nw 13Th St , Boca Raton FL 33486-2305. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Pestana, Ivo Alexander can be contacted via phone (561) 955-4220.

Contact Information

Primary practice address
701 Nw 13Th St Boca Raton FL 33486-2305
Phone: (561) 955-4220
Fax: (833) 626-1924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 2007-01980 North Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2007-01980 North Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME164339 Florida

Profile Details

NPI number 1881861730
LBN Legal business name Pestana, Ivo Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Feb 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881861730 NPPES
North Carolina MEDICAID 5915152

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