Individual
ISRAEL ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SW 60 CT, SUITE #302, MIAMI, FL 33155
(305) 662-8330
(305) 669-6496
Mailing address
3200 SW 60 CT, SUITE #302, MIAMI, FL 33155-4071
(305) 662-8330
(305) 663-2813
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME0033164
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME33164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044365400
—
FL
Enumeration date
10/04/2006
Last updated
07/02/2018
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