Individual
DR. ALFRED ALEXANDER DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 TOWN CENTER BLVD STE C, WESTON, FL 33326-3641
(954) 389-5900
(954) 389-5751
Mailing address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 349-2345
(954) 641-1080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME68002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002615000
—
FL
01
—
002876700
GROUP MEDICAID
FL
01
—
K0493
MEDICARE GROUP
FL
01
—
P00429747
RR MEDICARE
FL
Enumeration date
01/26/2006
Last updated
09/24/2024
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