Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 5620 | FL |
NPI | 1104975879 |
---|---|
Provider Name | Dr. Andrew Michael Alpert |
First Address | Aventura, FL 33180-3123 |
Second Address | Aventura, FL 33180-3123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |