Individual
DR. JUSTIN ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15255 MAX LEGGETT PKWY STE 5500, JACKSONVILLE, FL 32218-7273
(904) 223-3321
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME145433
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME145433
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2016
Last updated
08/22/2025
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