Individual
DENNIS THOMAS ALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 HOSPITAL DRIVE, STE. 110, PALM COAST, FL 32164-8683
(386) 586-1370
(386) 586-1369
Mailing address
21 HOSPITAL DR, STE 110, PALM COAST, FL 32164-2380
(386) 586-1370
(386) 586-1369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0054825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200014378
RAILROAD MEDICARE
GA
05
—
370314200
—
FL
Enumeration date
06/13/2005
Last updated
10/23/2008
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