| Alvior Medical Clinic | |
|
1905 W Busch Blvd Tampa FL 33612-7675 | |
| (813) 365-3525 | |
| (813) 365-3515 |
| Full Name | Alvior Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1905 W Busch Blvd, Tampa, Florida |
| Authorized Official Name and Position | Jonathan Pelayo Alvior (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8133653525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvior Medical Clinic 1905 W Busch Blvd Tampa FL 33612-7675 Ph: (813) 365-3525 | Alvior Medical Clinic 1905 W Busch Blvd Tampa FL 33612-7675 Ph: (813) 365-3525 |
| NPI Number | 1407015548 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 8325178031 |
|---|---|
| Medicare Enrollment ID | O20100607000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407015548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME99175 (Florida) | Primary |
| Provider Name | Jonathan P Alvior |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154513067 PECOS PAC ID: 9436247665 Enrollment ID: I20071121000270 |
| Provider Name | Jan Lorraine C David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497155 PECOS PAC ID: 1557796075 Enrollment ID: I20200110000601 |
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