Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 19301 | FL |
NPI | 1013204122 |
---|---|
Provider Name | Alejandro Caribas |
First Address | Land O Lakes, FL 34638-6205 |
Second Address | Coral Gables, FL 33134-4615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2011 |
Last Update Date | 27/01/2016 |