Individual
DR. PHILIPP ROQUE ALDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, UFJP PEDIATRIC NEUROSURGERY CENTER, JACKSONVILLE, FL 32207-8334
(904) 398-5201
(904) 398-8838
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME70228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2760070-00
—
FL
05
—
343260232A
—
GA
Enumeration date
07/17/2006
Last updated
10/26/2009
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