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Dr. Alexander J Smirnoff, MD
Specialist in Lady Lake, Florida
NPI 1518053024

Alexander J Smirnoff is a Specialist based in The Villages, FL. Alexander J Smirnoff practices in Lady Lake, FL and has the professional credentials of MD. The NPI Number for Alexander J Smirnoff is 1518053024 and holds a License No. 00026429 (Florida).

The current practice location address for Alexander J Smirnoff is 729 Hwy 466, Lady Lake, FL and can be reached out via phone at 352-633-2164 and via fax at 352-205-8149.

Location: 729 Hwy 466, Lady Lake, FL, 32159-8969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518053024
Provider Name
Alexander J Smirnoff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
729 Hwy 466, Lady Lake, FL, 32159-8969
Phone Number
352-633-2164
Fax Number
352-205-8149
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009984185 05 AL
institution
Provider Business Practice Location Address Details
Address
729 Hwy 466
City
Lady Lake
State
Florida
Zip
32159
Phone Number
352-633-2164
Fax Number
352-205-8149
person
Provider Business Mailing Address Details
Address
729 Hwy 466
City
Lady Lake
State
Florida
Zip
32159
Phone Number
352-633-2164
Fax Number
352-205-8149
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00026429 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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