Organization
NANGI SHORES MEDICAL GROUP
Active
Organization
NANGI SHORES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSE G DUFRENY M.D. (PHYSICIAN)
(305) 756-9392
Entity
Organization
Contact information
Practice address
9999 NE 2ND AVE STE 214, MIAMI SHORES, FL 33138-2345
(305) 384-8789
(786) 953-4169
Mailing address
9999 NE 2ND AVE STE 214, MIAMI SHORES, FL 33138-2345
(305) 384-8789
(786) 953-4169
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
ME85072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356311822
NPI
FL
05
—
267153100
—
FL
Enumeration date
08/04/2012
Last updated
08/04/2012
Update your record
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