Healthcare Provider Details

I. General information

NPI: 1144907049
Provider Name (Legal Business Name): JORGE FELIX ALCINA PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 MANATEE AVE W SUITE L OFFICE 118
BRADENTON FL
34209
US

IV. Provider business mailing address

6400 MANATEE AVE W SUITE L OFFICE 118
BRADENTON FL
34209
US

V. Phone/Fax

Practice location:
  • Phone: 941-208-1878
  • Fax:
Mailing address:
  • Phone: 941-208-1878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY13233
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: