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Individual

MAYRA I ALFONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4847 DAVID S MACK DR, WEST PALM BEACH, FL 33417-8023
(561) 687-4958
Mailing address
8221 NADMAR AVE, BOCA RATON, FL 33434-6306
(727) 748-7860

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME114962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GX1387
FL
01
ME114962
FL MEDICAL LICENSE
05
Q46726
SC
Enumeration date
11/06/2006
Last updated
10/21/2025
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