Individual
DR. ALFREDO NOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1634 N PLAZA DR, TALLAHASSEE, FL 32308-5323
(850) 942-7750
(850) 942-7414
Mailing address
1634 N PLAZA DR, TALLAHASSEE, FL 32308-5323
(850) 942-7750
(850) 942-7414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0084728
FL
207VG0400X
Gynecology Physician
ME0084728
FL
207VX0000X
Obstetrics Physician
ME0084728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200339927
COMMERCIAL BILLING
FL
05
—
264768100
—
FL
01
—
7811
BLUE CROSS PROVIDER NO
FL
01
—
E8554Y
MEDICARE PTAN
FL
Enumeration date
08/30/2006
Last updated
03/07/2023
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