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1003910654
JORGE ALFONSO
SUMMERFIELD, FL
NPI
1003910654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME83696)
Enumeration Date
2006-09-12
Last Update Date
2024-04-29
Business Address
JORGE ALFONSO MD
10900 SE 174TH PLACE RD
SUMMERFIELD, FL 34491-8984
Phone number: 352-820-3401
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Mailing Address
JORGE ALFONSO MD
PO BOX 25487
SARASOTA, FL 34277-2487
Phone number: 941-202-5342
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