Melean, Alfonso J

Melean, Alfonso J is an sole proprietor health care provider with primary practice located at 4802 E 7Th Ave , Tampa FL 33605-4704. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Melean, Alfonso J can be contacted via phone (813) 248-8515.

Contact Information

Primary practice address
4802 E 7Th Ave Tampa FL 33605-4704
Phone: (813) 248-8515
Fax: (813) 241-2709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN-14205 Florida

Profile Details

NPI number 1609845031
LBN Legal business name Melean, Alfonso J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Sep 12th, 2011 - 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 1609845031 NPPES
Florida MEDICAID 071409700

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