Healthcare Provider Details

I. General information

NPI: 1295953008
Provider Name (Legal Business Name): SAMANTHA C ALFORD-MORALES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA C ALFORD MD

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38754 STATE ROAD 80
BELLE GLADE FL
33430-5615
US

IV. Provider business mailing address

38754 STATE ROAD 80
BELLE GLADE FL
33430-5615
US

V. Phone/Fax

Practice location:
  • Phone: 561-996-1600
  • Fax: 561-837-5332
Mailing address:
  • Phone: 561-996-1600
  • Fax: 561-837-5332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME92101
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: