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Dislaisis Alfonso
NPI 1578235552 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5400 Sw 77th Ct Apt 1h
Miami, FL 33155 - Phone
- (305) 889-9047
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida