Healthcare Provider Details

I. General information

NPI: 1356311922
Provider Name (Legal Business Name): ALPHONSE GILOUX DUFRENY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 SOUTH SR7
MARGATE FL
33068
US

IV. Provider business mailing address

12 REDWOOD CIR
PLANTATION FL
33317-1942
US

V. Phone/Fax

Practice location:
  • Phone: 954-586-4343
  • Fax: 954-827-7800
Mailing address:
  • Phone: 305-756-9392
  • Fax: 305-756-9392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME85072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: