Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME39687 | FL |
NPI | 1023065471 |
---|---|
Provider Name | Mark Andrew Alagna |
First Address | Hudson, FL 34667-1487 |
Second Address | Hudson, FL 34667-1487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D56634 | (02) |