Alfonso, Don Joseph

Alfonso, Don Joseph is an individual health care provider with primary practice located at 84 Pinnacles Dr Ste 200 , Palm Coast FL 32164-2324. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alfonso, Don Joseph can be contacted via phone (386) 439-9777.

Contact Information

Primary practice address
84 Pinnacles Dr Ste 200 Palm Coast FL 32164-2324
Phone: (386) 439-9777
Fax: (386) 439-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME68836 Florida

Profile Details

NPI number 1073508917
LBN Legal business name Alfonso, Don Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073508917 NPPES
Florida MEDICAID 253950100

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