Individual
PETER ALEXANDROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD # 100186, GAINESVILLE, FL 32610
(352) 265-5911
(352) 265-5606
Mailing address
1600 SW ARCHER RD # 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME136233
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023100
—
FL
Enumeration date
04/14/2014
Last updated
07/13/2018
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