Organization
DENNIS T ALTER MD PA
Active
Parent organization
DENNIS T ALTER MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENNIS T ALTER MD PA
Authorized official
DR. DENNIS THOMAS ALTER M.D. (PRESIDENT)
(386) 586-1370
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR, SUITE 110, PALM COAST, FL 32164-2380
(386) 586-1370
(386) 586-1369
Mailing address
21 HOSPITAL DR, SUITE 110, PALM COAST, FL 32164-2380
(386) 586-1370
(386) 586-1369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0054825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254768600
—
FL
01
—
CE8874
RAILROAD MEDICARE
GA
Enumeration date
04/26/2007
Last updated
09/17/2008
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