Dr ENRILIEN P ALTA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
BAYCARE MEDICAL GROUP, INC.
6901 SIMMONS LOOP
SUITE 4
RIVERVIEW
FL
335789498
Tel: 8133321734
| Npi | 1497239693 |
| Pac Id | 0143561464 |
| Professional Enrollment Id | I20190412001848 |
| Last Name | ALTA |
| First Name | ENRILIEN |
| Middle Name | P |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Group Practice Pac Id | 6406753623 |
| Number Of Group Practice Members | 592 |
| Line 1 Street Address | 6901 SIMMONS LOOP |
| Line 2 Street Address | SUITE 4 |
| Marker Of Address Line 2 Suppression | |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 335789498 |
| Phone Number | 8133321734 |
| Hospital Affiliation Ccn 1 | 100075 |
| Hospital Affiliation Lbn 1 | ST JOSEPHS HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Ccn 4 | |
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| Professional Accepts Medicare Assignment | Y |
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