Individual
ENAK ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8777 SAN JOSE BLVD STE 701, JACKSONVILLE, FL 32217-4292
(904) 733-8255
Mailing address
7738 A C SKINNER PKWY APT 6305, JACKSONVILLE, FL 32256-8159
(321) 507-7965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10870
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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