Individual
ALEXANDER BOEPPLE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(305) 243-2951
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME131452
FL
Other
Enumeration date
03/27/2015
Last updated
05/24/2018
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