Individual
ALEXANDRE J POLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA/RRA
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5511
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA50
FL
247100000X
Radiologic Technologist
CRT62993
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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