Individual
MR. ALEX LAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11801 SW 90TH ST, SUITE 201, MIAMI, FL 33186-2182
(305) 595-5230
(305) 595-0157
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT16296
FL
Other
Enumeration date
10/17/2006
Last updated
12/02/2019
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