Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME35285 | FL |
NPI | 1134345028 |
---|---|
Provider Name | Dr. Timothy A Alexander |
First Address | Miami Shores, FL 33138-3034 |
Second Address | Miami Shores, FL 33138-3034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |