Individual
ALFONSO PRECIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 W COLONIAL DR STE 393, OCOEE, FL 34761-3433
(321) 843-1378
(407) 296-1873
Mailing address
10000 W COLONIAL DR STE 393, OCOEE, FL 34761-3433
(321) 843-1378
(407) 296-1873
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
6656178-1205
UT
208600000X
Surgery Physician
L7953
TX
208600000X
Surgery Physician
Primary
ME164596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119599000
—
FL
Enumeration date
07/19/2005
Last updated
10/17/2023
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