Individual
ALEJANDRO CARVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36763 EILAND BLVD STE 103, ZEPHYRHILLS, FL 33542-0600
(813) 994-3389
(813) 355-5051
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME62950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18832U
TPA MEDICARE#
FL
05
—
373724100
—
FL
01
—
390007562
RR MEDICARE
FL
Enumeration date
09/13/2006
Last updated
08/30/2021
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