MEDICARE: ANGELO M ALVES MD PA

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
1	2084N0400X	Neurology Physician	ME0023413	FL

General Provider Information

NPI Number	:	1538133467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELO M ALVES MD PA

Provider Business Mailing Address
First Line	:	5880 49TH ST N
Second Line	:	SUITE 108
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2142
Country	:	US
Telephone Number	:	727-527-8467
Fax Number	:	727-527-1645

Provider Business Practice Location Address
First Line	:	5880 49TH ST N
Second Line	:	SUITE 108
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2142
Country	:	US
Telephone Number	:	727-527-8467
Fax Number	:	727-527-1645

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANGELO MOTA ALVES
Credential	:	MD
Telephone Number	:	727-527-8467

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	03/11/2008

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