Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME147886 | FL |
NPI | 1538519707 |
---|---|
Provider Name | Alicia Alvarez |
First Address | Orlando, FL 32886-3407 |
Second Address | Sarasota, FL 34239-2932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2016 |
Last Update Date | 15/07/2021 |