Provider Demographics
NPI:1013089374
Name:PLANA, ALEXANDER (LDO)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:PLANA
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 W 20TH AVE
Mailing Address - Street 2:SUITE M-135
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5530
Mailing Address - Country:US
Mailing Address - Phone:305-556-3398
Mailing Address - Fax:305-556-3626
Practice Address - Street 1:7160 W 20TH AVE
Practice Address - Street 2:SUITE M-135
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5530
Practice Address - Country:US
Practice Address - Phone:305-556-3398
Practice Address - Fax:305-556-3626
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO1757156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0657890001Medicare ID - Type Unspecified