Individual
ALEX MARIN USON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1039 W DIXIE AVE, LEESBURG, FL 34748-6349
(352) 323-0094
Mailing address
1039 W DIXIE AVE, LEESBURG, FL 34748-6349
(352) 323-0094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME66916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25804
BCBS PROVIDER NUMBER
FL
Enumeration date
08/17/2006
Last updated
07/08/2007
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