Individual
JACQUELINE ALVARADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
205 N PARK AVE, APOPKA, FL 32703-4102
(321) 347-5748
Mailing address
3161 BRITANNIA BLVD APT C, KISSIMMEE, FL 34747-1494
(321) 947-1330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558776534
—
FL
Enumeration date
06/27/2014
Last updated
03/16/2020
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