Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 81295 | GA |
N | 207X00000X | Orthopaedic Surgeon | ME135526 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 81295 | GA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME135526 | FL |
NPI | 1104182708 |
---|---|
Provider Name | David Antonio Alvarez |
First Address | Tallahassee, FL 32308-4470 |
Second Address | Tallahassee, FL 32308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2012 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024448800 | (05) | FL |