Individual
DR. ALEJANDRO A VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 HATTERAS AVENUE, SUITE 100, CLERMONT, FL 34711-2756
(352) 242-0676
(352) 242-1335
Mailing address
PO BOX 636987, CINCINNATI, OH 45263-6987
(352) 854-0681
(352) 854-8031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06554
BCBS
FL
Enumeration date
10/24/2005
Last updated
03/11/2015
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