Individual
KATIE CLEARY ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2392 SE OCEAN BLVD, STUART, FL 34996
(772) 223-4978
(772) 223-2847
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-2847
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME135502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100374400
—
FL
01
—
7FQC7
FLORIDA BLUE
FL
Enumeration date
04/03/2012
Last updated
12/18/2018
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