Alexander Lastra Cabeza
MD | Pediatrics | Male
Alexander Lastra Cabeza, MD is a Fort Myers, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Alexander Lastra Cabeza is
19701 S Tamiami Trl, Fort Myers, Florida - 33908-4818. He can be contacted on phone at
239-314-1660 and fax number 239-425-6404.
Alexander Lastra Cabeza is a sole proprietor of his business.
NPI number (Unique professional ID) for Alexander Lastra Cabeza is
1295221943 which was assigned by NPPES on 05 Jul, 2018 and it was last updated on 19 Aug, 2021.
Alexander Lastra Cabeza license number is
ME147340 for Pediatrics (208000000X) in Florida.
Alexander Lastra Cabeza is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Alexander Lastra Cabeza basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Alexander Lastra Cabeza |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Alexander Lastra Cabeza address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 19701 S Tamiami Trl
Fort Myers, FL, 33908-4818
United States |
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| Phone Number : | 239-314-1660 |
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| Fax Number : | 239-425-6404 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295221943 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2018 |
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| Last Updated On : | 19 Aug, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexander Lastra Cabeza are as mentioned. Primary taxonomy code for Alexander Lastra Cabeza, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | ME147340 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Alexander Lastra Cabeza such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110519200 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
11100 SUMMER RIDGE LANE,
FORT MYERS, FL, 33908
United States | FORT MYERS, FL | 239-344-2307 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 919771
Orlando, FL, 32891-0001
United States |
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| Phone Number : | 239-278-3600 |
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Business Location:
Patients can refer following map for directions to
Alexander Lastra Cabeza practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.