Alstott, Jerry Martin

Alstott, Jerry Martin is an sole proprietor health care provider with primary practice located at 8030 Saint James Way , Mount Dora FL 32757-9134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Alstott, Jerry Martin can be contacted via phone (407) 908-0064.

Contact Information

Primary practice address
8030 Saint James Way Mount Dora FL 32757-9134
Phone: (407) 908-0064
Fax: (352) 383-9319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME0037307 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME0037307 Florida

Profile Details

NPI number 1467497271
LBN Legal business name Alstott, Jerry Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated May 10th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467497271 NPPES
Florida MEDICAID 046349300

Popular Providers