Alfonso, Justin

Alfonso, Justin is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Ste 201 , Jacksonville FL 32256-5004. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Alfonso, Justin can be contacted via phone (904) 223-3321.

Contact Information

Primary practice address
10475 Centurion Pkwy N Ste 201 Jacksonville FL 32256-5004
Phone: (904) 223-3321
Fax: (904) 223-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME145433 Florida

Profile Details

NPI number 1336502277
LBN Legal business name Alfonso, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Sep 27th, 2022 - about 2 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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