Individual
ALEJANDRO I TRAVERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1660 PRUDENTIAL DR STE 400, JACKSONVILLE, FL 32207
(904) 396-0000
(904) 396-5206
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239878
RAILROAD MEDICARE
FL
05
—
2654857-00
—
FL
Enumeration date
03/14/2006
Last updated
08/05/2024
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