Don Joseph Alfonso, M.D.
Individual provider Active NPI Specialist · Palm Coast, FL
NPI 1073508917 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1073508917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- ME68836 (FL)
- Practice address
- 84 Pinnacles Dr Ste 200
Palm Coast, FL 32164-2324 - Phone
- (386) 439-9777
- Fax
- (386) 439-0800
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardent Family Care PA | Current |
Accepting new patients |
Locations
84 Pinnacles Dr
Ste 200
Palm Coast, FL 32164
Phone (386) 439-9777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME68836 | FL | Yes |
Addresses
Primary practice location
84 Pinnacles Dr Ste 200
Palm Coast, FL 32164-2324
Mailing address
84 Pinnacles Dr Ste 200
Palm Coast, FL 32164-2324
Phone (386) 439-9777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253950100 | Medicaid | FL |
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.