Alfonso, Renato A
Alfonso, Renato A is an individual health care provider with primary practice located at 84 Pinnacles Dr Suite #200, Palm Coast FL 32164-2324. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Alfonso, Renato A can be contacted via phone (386) 439-9777.Contact Information
Primary practice address
84 Pinnacles Dr Suite #200
Palm Coast FL 32164-2324
Phone: (386) 439-9777
Fax: (386) 206-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME69077 | Florida |
Profile Details
| NPI number | 1184619017 |
|---|---|
| LBN Legal business name | Alfonso, Renato A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jan 29th, 2010 - about 14 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 | 1184619017 | NPPES |
| Florida | MEDICAID | 253950100 |
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