Individual
ALEXANDER FISHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 W COLONIAL DR, ORLANDO, FL 32804-7309
(407) 735-6735
(855) 618-2347
Mailing address
721 W COLONIAL DR, ORLANDO, FL 32804-7309
(407) 735-6735
(855) 855-6182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01052422
IN
207Q00000X
Family Medicine Physician
Primary
ME95364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000175651
BCBS
—
01
—
080168837
RR MEDICARE
—
01
—
10810
PHP
—
05
—
200276890A
—
IN
Enumeration date
07/29/2005
Last updated
11/03/2021
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