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Dr. Renato A Alfonso, MD
Specialist in Palm Coast, Florida
NPI 1184619017

Renato A Alfonso is a Specialist based in Palm Coast, FL. Renato A Alfonso practices in Palm Coast, FL and has the professional credentials of MD. The NPI Number for Renato A Alfonso is 1184619017 and holds a License No. ME69077 (Florida).

The current practice location address for Renato A Alfonso is 84 Pinnacles Dr, Palm Coast, FL and can be reached out via phone at 386-439-9777 and via fax at 386-206-0015.

Location: 84 Pinnacles Dr, Palm Coast, FL, 32164-2324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184619017
Provider Name
Renato A Alfonso
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
84 Pinnacles Dr, Palm Coast, FL, 32164-2324
Phone Number
386-439-9777
Fax Number
386-206-0015
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
253950100 05 FL
institution
Provider Business Practice Location Address Details
Address
84 Pinnacles Dr
City
Palm Coast
State
Florida
Zip
32164-2324
Phone Number
386-439-9777
Fax Number
386-206-0015
person
Provider Business Mailing Address Details
Address
84 Pinnacles Dr
City
Palm Coast
State
Florida
Zip
32164-2324
Phone Number
386-439-9777
Fax Number
386-206-0015
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME69077 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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