Individual
ALEXANDER LASTRA CABEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 CAPE CORAL PKWY E STE 103, CAPE CORAL, FL 33904-8522
(239) 343-9888
(239) 468-7937
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9888
(239) 468-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME147340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110519200
—
FL
Enumeration date
07/05/2018
Last updated
10/27/2025
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