Individual
ALFONSO H SAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4620 N. HABANA AVE., SUITE 202, TAMPA, FL 33614-7107
(813) 875-8550
(813) 875-8402
Mailing address
4620 N. HABANA AVE., SUITE 202, TAMPA, FL 33614-7107
(813) 875-8550
(813) 875-8402
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME34182
FL
2084P0805X
Geriatric Psychiatry Physician
ME34182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068610700
—
FL
Enumeration date
11/26/2007
Last updated
12/04/2024
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