Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | OS5715 | FL |
Y | 207RX0202X | Medical Oncology | OS5715 | FL |
NPI | 1306850508 |
---|---|
Provider Name | Christopher Alexander |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Ormond Beach, FL 32174-8179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 02/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
377924600 | (05) | FL |
G03512 | (02) |