Individual
AMARIN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1774
Mailing address
4801 SOLITARY DR, ROCKLEDGE, FL 32955-6554
(321) 434-4600
(321) 434-4662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME83127
FL
208M00000X
Hospitalist Physician
Primary
ME83127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009989865
—
AL
05
—
268563900
—
FL
01
—
59177878
BLUE CROSS BLUE SHIELD
AL
01
—
82138
BLUE CROSS BLUE SHIELD
FL
01
—
C539
HEALTH FIRST NETWORK
FL
01
—
P00212207
MEDICARE RAILROAD
—
Enumeration date
10/20/2005
Last updated
10/06/2017
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