Mugno, Alexis Tam

Mugno, Alexis Tam is an individual health care provider with primary practice located at 2300 Park Ave Ste 206 , Orange Park FL 32073-5573. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Mugno, Alexis Tam can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
2300 Park Ave Ste 206 Orange Park FL 32073-5573
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO4300 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104480284
LBN Legal business name Mugno, Alexis Tam
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Feb 20th, 2024 - about 2 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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