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NPI Code Detail

MEDICARE: DR. GARY ALVO D.D.S.

MEDICARE: DR. GARY ALVO D.D.S.
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
11223G0001XGeneral Practice DentistryD7805FL

General Provider Information

NPI Number : 1518997451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ALVO D.D.S.
Provider Business Mailing Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 305-944-3441
Fax Number : 305-944-3404
Provider Business Practice Location Address
First Line : 16600 NE 8TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-3618
Country : US
Telephone Number : 305-944-3441
Fax Number : 305-944-3404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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