Gotera Avila, Alfredo Jose

Gotera Avila, Alfredo Jose is an sole proprietor health care provider with primary practice located at 871 Ibis Walk Pl N Unit 3204 , St Petersburg FL 33716-3857. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gotera Avila, Alfredo Jose can be contacted via phone (407) 820-2693.

Contact Information

Primary practice address
871 Ibis Walk Pl N Unit 3204 St Petersburg FL 33716-3857
Phone: (407) 820-2693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18-182 Florida
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 18-182 Florida

Profile Details

NPI number 1205328978
LBN Legal business name Gotera Avila, Alfredo Jose
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2018
Last updated Mar 24th, 2020 - about 4 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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