Renato A Alfonso in Palm Coast - Specialist
Renato A Alfonso - NPI 1184619017
Renato A Alfonso is a Specialist in Palm Coast, Florida. Renato A Alfonso practices all healthcare services and medical treatments related to Specialist. The NPI Number for Renato A Alfonso is 1184619017. The last update date is 2010-01-29.
Renato A Alfonso's current location address is 84 Pinnacles Dr, Palm Coast, Florida. You can contact this provider via phone number 3864399777 and fax number 3862060015. The mailing address for Renato A Alfonso is 84 Pinnacles Dr, Palm Coast, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renato A Alfonso |
|---|---|
| Address | 84 Pinnacles Dr, Palm Coast, Florida |
| Phone Number | 3864399777 |
| Fax Number | 3862060015 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184619017 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2010-01-29 |
Provider Mailing Address Detail
| Address | 84 Pinnacles Dr |
|---|---|
| City | Palm Coast |
| State | Florida (FL) |
| Post Code | 321642324 |
| Phone Number | 3864399777 |
| Fax Number | 3862060015 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME69077 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 253950100 | FL | -- |
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What is the unique 10-digit identification code issued to Renato A Alfonso by the Centers for Medicare & Medicaid Services?
The Renato A Alfonso has been assigned the NPI (National Provider Identifier) 1184619017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Renato A Alfonso located?
The Renato A Alfonso is located at 84 Pinnacles Dr, Palm Coast, FL 321642324.
What is Renato A Alfonso's area of expertise and its corresponding taxonomy classification?
The Renato A Alfonso's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1184619017 to Renato A Alfonso?
The Renato A Alfonso received its 1184619017 assignment from the Centers for Medicare & Medicaid Services on 2005-09-16.
When was the Renato A Alfonso's information last updated?
The Renato A Alfonso's information was last updated on 2010-01-29.