Alfonso, Jossue

Alfonso, Jossue is an sole proprietor health care provider with primary practice located at 351 Nw 42Nd Ave Suite 402, Miami FL 33126-5683. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alfonso, Jossue can be contacted via phone (305) 642-4142.

Contact Information

Primary practice address
351 Nw 42Nd Ave Suite 402 Miami FL 33126-5683
Phone: (305) 642-4142
Fax: (305) 642-4143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 19316 Florida

Profile Details

NPI number 1235423997
LBN Legal business name Alfonso, Jossue
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2011
Last updated Aug 13th, 2014 - about 11 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 1235423997 NPPES
Florida MEDICAID 009946500

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