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ALONSO MEDICAL AND WELLNESS INSTITUTE LLC NPI 1154712917


NPI Information

NPI: 1154712917
Provider Name: ALONSO MEDICAL AND WELLNESS INSTITUTE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D2093477

Address:
1090 W STATE ROAD 436
ALTAMONTE SPRINGS, FL
ZIP 32714
Phone: (407) 869-1030
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ALONSO MEDICAL AND WELLNESS INSTITUTE LLC is an internal medicine in Altamonte Springs, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALONSO MEDICAL AND WELLNESS INSTITUTE LLC NPI is 1154712917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1090 W STATE ROAD 436
ALTAMONTE SPRINGS, FL
ZIP 32714-921
Phone: (407) 869-1030
Fax: (407) 869-1025

The provider's authorized official is Luz A Alonso .
The authorized official title is Owner/physician and has the following contact phone number (407) 869-1030.

The CLIA number assigned to this NPI record is 10D2093477 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 2/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME97551FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H98407MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.