Organization Name: | ANTHONY ALATRISTE MD PA FAMILY MEDICINE |
NPI Number: | 1285731489 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY ALATRISTE (OWNER) |
Mailing Address: | 1768 Park Center Dr Ste 200 Orlando |
State: | FL US |
Postal Code: | 328356200 |
Phone Number: | 4072996160 |
Fax Number: | 4072999141 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0070004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |