Individual
SERGIO ALBERTO ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6101 PINE RIDGE RD STE 101, NAPLES, FL 34119-3900
(239) 649-1662
(239) 649-7053
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(239) 449-3072
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9117067
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9117067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9117067
FLORIDA MEDICAL LICENSE
FL
Enumeration date
02/08/2023
Last updated
02/17/2023
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