MEDICARE: JAMES ALVES

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1710495742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ALVES

Provider Business Mailing Address
First Line	:	2110 TRESCOTT DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-0732
Country	:	US
Telephone Number	:	850-566-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	211B DELTA CT
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-4835
Country	:	US
Telephone Number	:	850-386-1560
Fax Number	:

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

Provider Enumeration Date	:	01/11/2018
Last Update Date	:	01/11/2018

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