ALFONSO MIRELES

LONGWOOD, FL
NPI1427055532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  ME54968)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  ME54968)
Enumeration Date2005-07-05
Last Update Date2014-10-09
Business Address
-- ALFONSO MIRELES MD
521 WEST STATE ROAD 434, SUITE 101 PEDIATRIC & ADOLESCENT MED OF SEMINOLE, IN ASSOC WITH NEMOURS
LONGWOOD, FL 32750-4952
Phone number: 407-830-5437
Mailing Address
-- ALFONSO MIRELES MD
PO BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-4488