Alfonso, Jorge

Alfonso, Jorge is an individual health care provider with primary practice located at 10900 Se 174Th Place Rd , Summerfield FL 34491-8984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alfonso, Jorge can be contacted via phone (352) 820-3401.

Contact Information

Primary practice address
10900 Se 174Th Place Rd Summerfield FL 34491-8984
Phone: (352) 820-3401
Fax: (352) 820-3402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME83696 Florida

Profile Details

NPI number 1003910654
LBN Legal business name Alfonso, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 29th, 2024 - about 5 months 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 1003910654 NPPES
Florida Other 06740W MEDICARE NUMBER

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