# ALONSO MEDICAL AND WELLNESS INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154712917
- **Authorized official:** MRS. LUZ A ALONSO MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (407) 869-1030

## Contact information

- **Practice address:** 1090 W STATE ROAD 436, ALTAMONTE SPRINGS, FL 32714-2921
- **Practice address phone:** (407) 869-1030
- **Practice address fax:** (407) 869-1025
- **Mailing address:** 1090 W STATE ROAD 436, ALTAMONTE SPRINGS, FL 32714-2921
- **Mailing address phone:** (407) 869-1030
- **Mailing address fax:** (407) 869-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME97551 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/17/2015