person
Dr. Alexander Fernando San Diego JR., DPM
Foot & Ankle Surgery Podiatrist in Merritt Island, Florida
NPI 1053678052

Alexander Fernando San Diego JR. is a Foot & Ankle Surgery Podiatrist based in Merritt Island, FL and is specialized in Foot & Ankle Surgery. Alexander Fernando San Diego JR. practices in Merritt Island, FL and has the professional credentials of DPM. The NPI Number for Alexander Fernando San Diego JR. is 1053678052 and holds a License No. PO3686 (Florida).

The current practice location address for Alexander Fernando San Diego JR. is 2404 N Courtenay Pkwy, Merritt Island, FL and can be reached out via phone at 321-452-1327 and via fax at 321-454-9208.

Location: 2404 N Courtenay Pkwy, Merritt Island, FL, 32953-4191
person
Provider Profile Details
NPI Number
1053678052
Provider Name
Alexander Fernando San Diego JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2404 N Courtenay Pkwy, Merritt Island, FL, 32953-4191
Phone Number
321-452-1327
Fax Number
321-454-9208
Provider Enumeration Date
04/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053678052 01 NPI
13574563 01 CAQH
institution
Provider Business Practice Location Address Details
Address
2404 N Courtenay Pkwy
City
State
Zip
32953-4191
Phone Number
321-452-1327
Fax Number
321-454-9208
person
Provider Business Mailing Address Details
Address
2404 N Courtenay Pkwy
City
State
Zip
32953-4191
Phone Number
321-452-1327
Fax Number
321-454-9208
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO3686 (Florida)
Definition
Definition to come...
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