Individual
MR. JERRY MARTIN ALSTOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8030 SAINT JAMES WAY, MOUNT DORA, FL 32757-9134
(407) 908-0064
(352) 383-9319
Mailing address
8030 SAINT JAMES WAY, MOUNT DORA, FL 32757-9134
(407) 908-0064
(352) 383-9319
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
ME0037307
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME0037307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046349300
—
FL
Enumeration date
06/17/2006
Last updated
05/10/2016
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