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Individual

ALEXANDER LEYVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047
Mailing address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5140
(317) 705-5047

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
287537
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME135302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114930300
FL
01
S0864
MEDICARE HF
FL
Enumeration date
02/05/2014
Last updated
05/24/2024
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