Organization
KIM ALONSO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KARRA ALONSO OTR (PRESIDENT)
(813) 690-9722
Entity
Organization
Contact information
Practice address
10305 TIMMONS RD, THONOTOSASSA, FL 33592-3354
(813) 690-9722
Mailing address
10305 TIMMONS RD, THONOTOSASSA, FL 33592-3354
(813) 690-9722
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT1123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
671024796
—
FL
05
—
880169000
—
FL
Enumeration date
06/26/2018
Last updated
06/26/2018
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