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NPI Code Detail

MEDICARE: DR. FRANK SEVERIANO ALVAREZ JR. M.D.

MEDICARE: DR. FRANK SEVERIANO ALVAREZ JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME31437FL

General Provider Information

NPI Number : 1083705453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK SEVERIANO ALVAREZ JR. M.D.
Provider Business Mailing Address
First Line : 1040 MASON AVENUE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117
Country : US
Telephone Number : 386-248-0107
Fax Number : 386-248-0109
Provider Business Practice Location Address
First Line : 697 MAITLAND AVE
Second Line : SUITE 1001
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-539-2111
Fax Number : 407-539-1211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/12/2014

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