Provider Demographics
NPI:1194056010
Name:ZAMORA, ALVARO JOSE (MD)
Entity type:Individual
Prefix:
First Name:ALVARO
Middle Name:JOSE
Last Name:ZAMORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2450 GOODLETTE RD N
Mailing Address - Street 2:SUITE#102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4595
Mailing Address - Country:US
Mailing Address - Phone:239-643-8794
Mailing Address - Fax:239-430-7820
Practice Address - Street 1:2450 GOODLETTE RD N
Practice Address - Street 2:SUITE#102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4595
Practice Address - Country:US
Practice Address - Phone:239-643-8794
Practice Address - Fax:239-430-7820
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME128012086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004879100Medicaid
FL004879100Medicaid