DR. RENATO A ALFONSO (NPI# 1184619017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184619017 |
| Entity Type | Individual |
| Full Name | DR. RENATO A ALFONSO |
| Credential | M.D. |
| Practice Address |
84 Pinnacles Dr Suite #200 Palm Coast FL 32164-2324 |
| Practice Telephone | 3864399777 |
| Practice Fax Number | 3862060015 |
| Mailing Telephone | 3864399777 |
| Mailing Fax Number | 3862060015 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME69077 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 253950100 | 05 |
| Street Address |
84 PINNACLES DR SUITE #200 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174975908 | Mirian Langer | Nurse Practitioner | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 | 2016-07-05 |
| 1588010904 | Daryl Lawrence Vergara | Physical Therapy Assistant | 84 Pinnacles Dr, #300, Palm Coast, FL 32164-2324 | 2016-05-05 |
| 1811356785 | Vicki Siu-yin Ma | Occupational Therapist | 84 Pinnacles Dr, Building A, Suite 300, Palm Coast, FL 32164-2324 | 2016-02-19 |
| 1891179693 | Robert Bruce Perri | Nurse Practitioner | 84 Pinnacles Dr, Suite 200, Palm Coast, FL 32164-2324 | 2015-07-13 |
| 1780966911 | Kimberlie Forbes | Physical Therapist | 84 Pinnacles Dr, Bldg A, Suite 300, Palm Coast, FL 32164-2324 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174956775 | Richard Sean Fulmer | Specialist | 20 Bruce Ln, Palm Coast, FL 32137 | 2013-08-19 |
| 1922377746 | Jennifer Marie Brannigan | Specialist | 56 Nantucket Dr, Palm Coast, FL 32137-2529 | 2011-12-22 |
| 1508012469 | Karen Lynn Mcdonough | Specialist | 54 Farragut Dr, Palm Coast, FL 32137-8221 | 2008-08-12 |
| 1710180898 | Inti A Marazita | Specialist | 13 Laramie Dr, Palm Coast, FL 32137-9626 | 2007-06-07 |
| 1427133891 | Rural Therapy Services of Florida Inc | Specialist | 35 Old Kings Rd N, Palm Coast, FL 32137-8227 | 2006-10-26 |
| 1972698710 | Sheri Lee Montgomery | Specialist | 8 Clermont Court, Palm Coast, FL 32137-8926 | 2006-10-04 |
| 1184688251 | Domenic Marini | Specialist | 19 Old Kings Rd N, Suite C-106, Palm Coast, FL 32137-8260 | 2006-04-14 |
| 1073508917 | Don Joseph Alfonso | Specialist | 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 | 2005-09-16 |
| 1487658472 | Thomas A Joiner | Specialist | 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 | 2005-06-08 |
| 1558364265 | Jerry Leventhal | Specialist | 21 Hospital Drive, Ste 280, Palm Coast, FL 32164 | 2005-05-27 |
| Find all providers in PALM COAST | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on DR. RENATO A ALFONSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.