Healthcare Provider Details

I. General information

NPI: 1225989858
Provider Name (Legal Business Name): ANA ALFRED, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 MENDOZA ST
WEST PALM BEACH FL
33415-9110
US

IV. Provider business mailing address

5412 MENDOZA ST
WEST PALM BEACH FL
33415-9110
US

V. Phone/Fax

Practice location:
  • Phone: 561-506-8225
  • Fax:
Mailing address:
  • Phone: 561-506-8225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANAILYS ALFRED
Title or Position: OWNER
Credential: PMHNP-BC, FNP-BC
Phone: 561-506-8225