Individual
IVETTE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
8950 N KENDALL DR, MIAMI, FL 33176-2144
(786) 596-3621
Mailing address
14881 SW 158TH ST, MIAMI, FL 33187-0608
(305) 562-9382
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA573
FL
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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