Individual
ALFRED FAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2700 HEALING WAY STE 100, WESLEY CHAPEL, FL 33543-5453
(813) 467-4756
Mailing address
2700 HEALING WAY STE 100, WESLEY CHAPEL, FL 33543-5453
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
UO11948
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
06/18/2026
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