Individual
ALEXANDER ALFONSO CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23143 L ERMITAGE CIR, BOCA RATON, FL 33433-7154
(561) 212-2572
Mailing address
23143 L ERMITAGE CIR, BOCA RATON, FL 33433-7154
(561) 212-2572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9120741
FL
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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