Organization
ASDJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER FERNANDO SAN DIEGO JR. DPM (OWNER)
(414) 870-0802
Entity
Organization
Contact information
Practice address
2190 BRIDGEPORT CIR, ROCKLEDGE, FL 32955-4338
(414) 870-0802
Mailing address
2190 BRIDGEPORT CIR, ROCKLEDGE, FL 32955-4338
(414) 870-0802
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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