Organization
ALPHA FIRST ASSIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET KENNARD RNFA (PRESIDENT)
(813) 681-1230
Entity
Organization
Contact information
Practice address
3327 POWERLINE RD, LITHIA, FL 33547-1866
(813) 681-1230
(888) 329-6432
Mailing address
3327 POWERLINE RD, LITHIA, FL 33547-1866
(813) 681-1230
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN 3080432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y081F
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
04/18/2007
Last updated
08/22/2020
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