ALEX MARIN USON MD NPI 1578676953

NPI Information

NPI: 1578676953
Provider Name: ALEX MARIN USON, MD
Classification: Specialist - 174400000X
Entity Type: Individual

CLIA Number: 10D0974495

Address:
1039 W DIXIE AVE
LEESBURG, FL
ZIP 34748
Phone: (352) 323-0094
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Alex Marin Uson, MD is a specialist in Leesburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Alex Marin Uson, MD NPI is 1578676953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1039 W DIXIE AVE
LEESBURG, FL
ZIP 34748-349
Phone: (352) 323-0094

The CLIA number assigned to this NPI record is 10D0974495 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME66916	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25804	OTHER	FLORIDA	BCBS PROVIDER NUMBER
2	F89930	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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