Mireles, Alfonso

Mireles, Alfonso is an individual health care provider with primary practice located at 521 West State Road 434, Suite 101 Pediatric & Adolescent Med Of Seminole, In Assoc With Nemours, Longwood FL 32750-4952. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mireles, Alfonso can be contacted via phone (407) 830-5437.

Contact Information

Primary practice address
521 West State Road 434, Suite 101 Pediatric & Adolescent Med Of Seminole, In Assoc With Nemours Longwood FL 32750-4952
Phone: (407) 830-5437
Fax: (407) 830-4907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME54968 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME54968 Florida

Profile Details

NPI number 1427055532
LBN Legal business name Mireles, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 9th, 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 1427055532 NPPES
Florida MEDICAID 047733800
Florida MEDICAID '047733800

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