Alford, Travis
Alford, Travis is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Alford, Travis can be contacted via phone (321) 434-8121.Contact Information
Primary practice address
1425 Malabar Rd Ne
Palm Bay FL 32907-2506
Phone: (321) 434-8121
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN11003870 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARPN11003870 | Florida |
Profile Details
NPI number | 1477194611 |
---|---|
LBN Legal business name | Alford, Travis |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2019 |
Last updated | Nov 17th, 2020 - about 5 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 | 1477194611 | NPPES |
Florida | Other | ML043 | MEDICARE - FL |
Florida | MEDICAID | 106094300 | MEDICARE - FL |
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