Provider Demographics
NPI:1346639812
Name:ALEX M. USON M.D.,P.A.
Entity Type:Organization
Organization Name:ALEX M. USON M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:MARIN
Authorized Official - Last Name:USON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-323-0094
Mailing Address - Street 1:1039 W DIXIE AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6349
Mailing Address - Country:US
Mailing Address - Phone:352-323-0094
Mailing Address - Fax:352-323-0096
Practice Address - Street 1:1039 W DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-6349
Practice Address - Country:US
Practice Address - Phone:352-323-0094
Practice Address - Fax:352-323-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066916208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty