Individual
ALEJANDRO J FORCELLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12633 SW 54TH ST, MIRAMAR, FL 33027-5491
(786) 316-5874
Mailing address
12633 SW 54TH ST, MIRAMAR, FL 33027-5491
(786) 316-5874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9281187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9281187
OTHER
FL
Enumeration date
11/27/2018
Last updated
11/27/2018
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