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Individual

ERNEST ALFRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5120 CURRY FORD RD STE B, ORLANDO, FL 32812-8743
(407) 219-0763
Mailing address
12841 MOSS PARK RIDGE DR, ORLANDO, FL 32832-7088

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
30212200
FL
164W00000X
Licensed Practical Nurse
3021220
FL
374U00000X
Home Health Aide
3021220
FL
376K00000X
Nurse's Aide
3021220
FL

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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