Basic Information
| Provider Information | |||||||||
| NPI: | 1447556972 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARCIA-GONZALEZ | ||||||||
| FirstName: | ALEXANDER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12944 MALLORY CIR | ||||||||
| Address2: | APT 202 | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328289097 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872649621 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7727 LAKE UNDERHILL RD | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328228224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4073036413 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2011 | ||||||||
| LastUpdateDate: | 02/01/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | TRN12417 | FL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.