Individual
ALEXANDER BALAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7400 SW 87TH AVE STE 100, MIAMI, FL 33173-5458
(305) 412-5781
Mailing address
3630 SW 104TH CT, MIAMI, FL 33165-3720
(786) 376-3621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112981
FL
Other
Enumeration date
01/27/2020
Last updated
01/27/2022
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