Healthcare Provider Details

I. General information

NPI: 1689603383
Provider Name (Legal Business Name): ANTHONY ALATRISTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1584 CITRUS MEDICAL CT
OCOEE FL
34761-4547
US

IV. Provider business mailing address

PO BOX 783456
WINTER GARDEN FL
34778-3456
US

V. Phone/Fax

Practice location:
  • Phone: 407-512-6401
  • Fax:
Mailing address:
  • Phone: 407-512-6401
  • Fax: 407-512-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME70004
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberME0070004
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: