Individual
DR. ALEXANDER LEOPOLDO FORMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
150 ISLA DORADA BLVD, CORAL GABLES, FL 33143-6549
(305) 510-9595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
142271
FL
208M00000X
Hospitalist Physician
Primary
ME142271
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
04/06/2021
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