MEDICARE: MICHAEL ANTHONY ALFONSO

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1649121039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANTHONY ALFONSO

Provider Business Mailing Address
First Line	:	2008 GREENBRIAR TER
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-1792
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 GREENBRIAR TER
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-1792
Country	:	US
Telephone Number	:	305-992-2494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

Similar Medicare Providers

1982873477 — DR. ARMANDO ANTONIO DOVAL M.D.
Practice Location Address:

410 LIONEL WAY FL 3
DAVENPORT, FL
33837-7809

Practice Phone: 863-293-1191
Practice Fax: 863-508-2239

1700745932 — KEVIN NGUYEN PA-C
Practice Location Address:

40124 HIGHWAY 27 STE 205
DAVENPORT, FL
33837-5905

Practice Phone: 863-419-4000
Practice Fax:

1427621101 — MS. JESSICA RENEE PINSON APRN
Practice Location Address:

40215 HIGHWAY 27
DAVENPORT, FL
33837-7813

Practice Phone: 863-421-9705
Practice Fax: 863-421-9779

1730910928 — MONICA FAYE WILLIAMS APRN
Practice Location Address:

40124 US-27 S
DAVENPORT, FL
33837

Practice Phone: 863-419-2210
Practice Fax:

1225989098 — MARIELA JOSEFINA GONZALEZ MUNOZ
Practice Location Address:

1611 EUCALYPTUS WAY
DAVENPORT, FL
33837-1615

Practice Phone: 407-686-6541
Practice Fax:

1316940943 — DR. GILBERTO L DE MIRANDA M.D.
Practice Location Address:

130 RIDGE CENTER DR STE 104
DAVENPORT, FL
33837-6414

Practice Phone: 863-421-9447
Practice Fax: 863-421-1806

Directions to “ MICHAEL ANTHONY ALFONSO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.