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Individual

ALEJANDRO JORDAN VILLEGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 W GORE STREET, ORLANDO, FL 32806-1101
(407) 481-7360
(407) 481-7361
Mailing address
60 W GORE STREET, ORLANDO, FL 32806-1101
(407) 481-7360
(407) 481-7361

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME101267
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003502400
FL
01
ME101267
MEDICAL LICENSE
FL
Enumeration date
04/08/2008
Last updated
11/18/2016
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