Individual
DR. ALEXANDER J SMIRNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 HWY 466, LADY LAKE, FL 32159
(352) 633-2164
(352) 205-8149
Mailing address
1576 BELLA CRUZ DR, PMB 413, THE VILLAGES, FL 32159-8969
(352) 633-2164
(352) 205-8149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00026429
AL
174400000X
Specialist
Primary
ME106236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009984185
—
AL
Enumeration date
10/04/2006
Last updated
03/29/2014
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