Alcalde, Renato R

Alcalde, Renato R is an individual health care provider with primary practice located at 3333 W 20Th St , Jacksonville FL 32254-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Alcalde, Renato R can be contacted via phone (904) 695-9145.

Contact Information

Primary practice address
3333 W 20Th St Jacksonville FL 32254-1703
Phone: (904) 695-9145
Fax: (904) 695-2465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME30161 Florida

Profile Details

NPI number 1033174495
LBN Legal business name Alcalde, Renato R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 26th, 2019 - about 5 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 1033174495 NPPES
Florida MEDICAID 038150100
Florida Other 605640700
Florida Other ME30161

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