# DR. ALFREDO NOVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790894871
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0084728 | FL | Yes |
| 207VG0400X | Gynecology Physician | ME0084728 | FL | — |
| 207VX0000X | Obstetrics Physician | ME0084728 | FL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 200339927 | COMMERCIAL BILLING | FL |
| 05 | — | 264768100 | — | FL |
| 01 | — | 7811 | BLUE CROSS PROVIDER NO | FL |
| 01 | — | E8554Y | MEDICARE PTAN | FL |