Preciado, Alfonso

Preciado, Alfonso is an individual health care provider with primary practice located at 10000 W Colonial Dr Ste 393 , Ocoee FL 34761-3433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Preciado, Alfonso can be contacted via phone (321) 843-1378.

Contact Information

Primary practice address
10000 W Colonial Dr Ste 393 Ocoee FL 34761-3433
Phone: (321) 843-1378
Fax: (407) 296-1873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L7953 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 6656178-1205 Utah
Allopathic & Osteopathic Physicians / Surgery 208600000X ME164596 Florida

Profile Details

NPI number 1962401315
LBN Legal business name Preciado, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Oct 17th, 2023 - about 3 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 1962401315 NPPES
Florida MEDICAID 119599000

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