Ardito, Alison

Ardito, Alison is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd 105, Port St Lucie FL 34986-3443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ardito, Alison can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd 105 Port St Lucie FL 34986-3443
Phone: (772) 336-2818
Fax: (772) 336-2818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23752 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01070031A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME1179855 Florida

Profile Details

NPI number 1104023613
LBN Legal business name Ardito, Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Sep 24th, 2014 - about 10 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 1104023613 NPPES
Florida MEDICAID 012587900

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