Individual
NOEL ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(305) 336-0108
(954) 262-1888
Mailing address
1301 SW 69TH AVE, PLANTATION, FL 33317-5058
(305) 336-0108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 83532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265403200
—
FL
Enumeration date
11/05/2006
Last updated
03/31/2021
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