Individual
DR. JOHNNY ALVAREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3908 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-3116
Mailing address
3908 9TH AVE W, BRADENTON, FL 34205-1704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 50611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04244
BCBSF
FL
Enumeration date
06/30/2005
Last updated
07/08/2007
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