Individual
RENATO R ALCALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-9145
(904) 695-2465
Mailing address
P.O. BOX 19249, JACKSONVILLE, FL 32245-9249
(904) 743-1883
(904) 695-2465
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME30161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038150100
—
FL
01
—
605640700
ACS
—
01
—
ME30161
PROFESSIONAL LICENSE
FL
Enumeration date
04/19/2006
Last updated
02/26/2019
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