Individual
IVO ALEXANDER PESTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 NW 13TH ST, BOCA RATON, FL 33486-2305
(561) 955-4220
(833) 626-1924
Mailing address
701 NW 13TH ST, BOCA RATON, FL 33486-2305
(561) 955-4220
(833) 626-1924
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2007-01980
NC
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
2007-01980
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME164339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915152
—
NC
Enumeration date
05/09/2008
Last updated
02/16/2024
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