Alford, Travis

Alford, Travis is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Alford, Travis can be contacted via phone (321) 434-8121.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Phone: (321) 434-8121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN11003870 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARPN11003870 Florida

Profile Details

NPI number 1477194611
LBN Legal business name Alford, Travis
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Nov 17th, 2020 - about 6 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 1477194611 NPPES
Florida Other ML043 MEDICARE - FL
Florida MEDICAID 106094300 MEDICARE - FL

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