Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME121168 | FL |
Y | 111NI0900X | Internist | ME121168 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME121168 | FL |
NPI | 1184886608 |
---|---|
Provider Name | Dr. Alexander Fine |
First Address | Longboat Key, FL 34228-3011 |
Second Address | Sarasota, FL 34243-2809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 17/03/2018 |