Organization
ELVISALFONSO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIS M ALFONSO M.D (PHYSICIAN)
(321) 289-9287
Entity
Organization
Contact information
Practice address
4420 S HOPKINS AVE, TITUSVILLE, FL 32780-6690
(321) 289-9287
Mailing address
4420 S HOPKINS AVE, TITUSVILLE, FL 32780-6690
(321) 289-9287
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 100641
FL
Other
Enumeration date
07/20/2012
Last updated
02/02/2013
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