Organization
DR. ALFONSO OLIVOS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO OLIVOS MD (OWNER)
(239) 592-5554
Entity
Organization
Contact information
Practice address
873 101 AVENUE N., NAPLES, FL 34108
(239) 592-5554
(239) 592-6537
Mailing address
5548 FOXHUNT WAY, NAPLES, FL 34104
(239) 592-5554
(239) 592-6537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME22900
FL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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