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Individual

PEDRO A ALONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5850 SE COMMUNITY DR, STUART, FL 34997-6420
(772) 223-3465
Mailing address
2740 SW MARTIN DOWNS BLVD # 208, PALM CITY, FL 34990-6046
(772) 223-3465
(772) 223-3465

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 70064
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME70064
FL
208M00000X
Hospitalist Physician
ME70064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273046400
FL
01
41877
BLUE CROSS
FL
Enumeration date
03/31/2006
Last updated
10/31/2019
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