Individual
DR. JUAN CARLOS ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 NURSING HOME DR STE 1, ARCADIA, FL 34266-3839
(863) 993-2966
(863) 494-5491
Mailing address
PO BOX 25487, SARASOTA, FL 34277-2487
(941) 867-4850
(877) 807-0253
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ACN1162
FL
208D00000X
General Practice Physician
Primary
ACN1162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
02/06/2013
Last updated
07/27/2026
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