Individual
ALEX DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4757 MIRAGE BAY CIR UNIT 204, FORT MYERS, FL 33966-6635
(407) 409-4298
Mailing address
4757 MIRAGE BAY CIR UNIT 204, FORT MYERS, FL 33966-6635
(407) 409-4298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9519600
FL
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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