Alfredo Fanelli
Periodontist
1770 N Wickham Rd
Melbourne
, Florida 32935-8122
Alfredo Fanelli
Periodontist
1770 N Wickham Rd
Melbourne
, Florida 32935-8122
(321) 235-9792
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Alfredo Fanelli
- 1770 N Wickham Rd
- Melbourne, FL
- Zip : 32935-8122
- Phone : (321) 235-9792
Second Address
- Alfredo Fanelli
- 1770 N Wickham Rd
- Melbourne, FL
- Zip : 32935-8122
- Phone : (321) 235-0606
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | DN12492 | FL |
National Provider Identifier
| NPI | 1043370919 |
|---|---|
| Provider Name | Alfredo Fanelli |
| First Address | Melbourne, FL 32935-8122 |
| Second Address | Melbourne, FL 32935-8122 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.