Individual
PROF. ALEXANDER LEGANOA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM-P
Contact information
Practice address
5590 W 20TH AVE, HIALEAH, FL 33016-7070
(305) 825-4320
(305) 825-8117
Mailing address
5590 W 20TH AVE, HIALEAH, FL 33016-7070
(786) 972-8466
(305) 825-8117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0104836-P
FL
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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