Individual
CARLOS ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6282
Mailing address
10875 SW 112TH AVE APT 312, MIAMI, FL 33176-3252
(305) 878-1414
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-372
FL
Other
Enumeration date
07/14/2016
Last updated
03/22/2017
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