Dr RENATO A ALFONSO is a male medical professional, specializing in Internal Medicine. He graduated in 1987.
ARDENT FAMILY CARE PA
84 PINNACLES DR
SUITE 200
PALM COAST
FL
321642324
Tel:
| Npi | 1184619017 |
| Pac Id | 3870569775 |
| Professional Enrollment Id | I20100223000817 |
| Last Name | ALFONSO |
| First Name | RENATO |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ARDENT FAMILY CARE PA |
| Group Practice Pac Id | 7517933419 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 84 PINNACLES DR |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | PALM COAST |
| State | FL |
| Zip Code | 321642324 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 100118 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL FLAGLER |
| Hospital Affiliation Ccn 2 | 100068 |
| Hospital Affiliation Lbn 2 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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