Individual
DR. ALEXANDER G JUSTICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316-2521
(954) 355-4665
(954) 355-4881
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 355-4665
(954) 355-4881
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
031040
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME106017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190000
—
FL
05
—
00661548A
—
GA
01
—
330003473
RR MEDICARE
GA
01
—
572542
BCBS EDI
GA
01
—
Q00677830
MEDICARE RR
FL
Enumeration date
04/19/2006
Last updated
07/03/2025
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