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Organization

ALESSI FAMILY CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT G ALESSI D.O. (PROVIDER)
(239) 992-5444
Entity
Organization

Contact information

Practice address
9400 BONITA BEACH RD SE STE 102, BONITA SPRINGS, FL 34135-4520
(239) 992-5444
(239) 992-1315
Mailing address
9400 BONITA BEACH RD SE STE 102, BONITA SPRINGS, FL 34135-4520
(239) 992-5444
(239) 992-1315

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45155
BCBS OF FLORIDA PROVIDER
FL
01
K1878
MEDICARE PROVIDER NUMBER
FL
Enumeration date
07/24/2007
Last updated
12/11/2007
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