JULIETA ALCANTARA — OIG Excluded Provider (ST AUGUSTINE, FL, 1128b4)
JULIETA ALCANTARA — OIG Excluded Provider (ST AUGUSTINE, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JULIETA ALCANTARA; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | JULIETA ALCANTARA |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | GENERAL PRACTICE/FP |
| City | ST AUGUSTINE |
| State | FL |
| ZIP | 32086 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2001-04-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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