Provider Demographics
NPI:1710911367
Name:ALEXANDER, JOSEPH RICHARD (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RICHARD
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:16102 EMERALD ESTATES DR
Mailing Address - Street 2:APT. 236
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-6100
Mailing Address - Country:US
Mailing Address - Phone:954-217-3906
Mailing Address - Fax:954-217-3906
Practice Address - Street 1:1611 N.W. 12TH AVE
Practice Address - Street 2:JACKSON MEMORIAL HOSPITAL, TAYLOR BREAST CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1096
Practice Address - Country:US
Practice Address - Phone:305-585-7410
Practice Address - Fax:305-585-0040
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 92462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D97855Medicare UPIN
FL82119ZMedicare ID - Type Unspecified