Alfonso, Camille Marie
Alfonso, Camille Marie is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Alfonso, Camille Marie can be contacted via phone (813) 870-4933.Contact Information
Primary practice address
3001 W Dr Martin Luther King Jr Blvd
Tampa FL 33607-6307
Phone: (813) 870-4933
Fax: (813) 870-4887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | UO 4251 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS14353 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS14353 | Florida |
Profile Details
| NPI number | 1912312794 |
|---|---|
| LBN Legal business name | Alfonso, Camille Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Aug 15th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912312794 | NPPES |
| Florida | MEDICAID | 020475800 |
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