ALEXANDER FONG

BROOKSVILLE, FL
NPI1659951275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  OS21097)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-08
Last Update Date2024-08-08
Business Address
ALEXANDER FONG DO
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number: 352-596-6632
Mailing Address
ALEXANDER FONG DO
12542 BROOKWOOD CT
DAVIE, FL 33330-1208
Phone number: 954-740-3311