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Individual

DR. ALEXANDER MARKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 N 35TH AVE, SUITE 620, HOLLYWOOD, FL 33021-5424
(954) 989-9553
(954) 989-9607
Mailing address
1150 N 35TH AVE, SUITE 620, HOLLYWOOD, FL 33021-5424
(954) 989-9553
(954) 989-9607

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
234498
NY
207RN0300X
Nephrology Physician
Primary
ME99263
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255464590
NPI
FL
01
1821104084
GROUP NPI
FL
01
23747
BCBS
FL
05
278585400
FL
01
650056991
TAX ID
FL
Enumeration date
03/14/2007
Last updated
12/11/2019
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