Individual
MR. CARLOS L ALFONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
317 ASHBURTON WAY, KISSIMMEE, FL 34758-4223
(407) 342-7992
Mailing address
317 ASHBURTON WAY, KISSIMMEE, FL 34758-4223
(407) 342-7992
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
3694115
FL
363LF0000X
Family Nurse Practitioner
Primary
11036836
FL
Other
Enumeration date
08/31/2023
Last updated
03/11/2026
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