Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | ME79344 | FL |
Y | 2080P0203X | Pediatric Critical Care Doctor | ME79344 | FL |
NPI | 1063478303 |
---|---|
Provider Name | Mr. Plato John Alexander |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 25/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273499100 | (05) | FL |
K7151 | (02) | FL |