Individual
ALEJANDRO BARREDA VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
636 DEL PRADO BLVD, CAPE CORAL, FL 33990-2695
(239) 424-3123
(239) 424-4041
Mailing address
13607 PINE VILLA LN, FORT MYERS, FL 33912-1617
(239) 424-3123
(239) 424-4041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME125280
FL
208M00000X
Hospitalist Physician
ME125280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019023500
—
FL
Enumeration date
06/10/2013
Last updated
07/29/2024
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