Organization
MARTHA N ALFONSO O.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA N ALFONSO (OPTOMETRIST)
(305) 463-8032
Entity
Organization
Contact information
Practice address
366 E 4TH AVE, HIALEAH, FL 33010-4998
(305) 888-9910
Mailing address
11476 NW 81ST TER, MIAMI, FL 33178-1487
(305) 463-8032
(786) 360-4907
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620507100
—
FL
Enumeration date
11/24/2010
Last updated
11/24/2010
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