Provider Demographics
NPI:1902993496
Name:BILIK, ALFRED J (MD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:J
Last Name:BILIK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1 S SCHOOL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6014
Practice Address - Country:US
Practice Address - Phone:941-309-7000
Practice Address - Fax:941-308-8508
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2017-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0073513174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1193539OtherWELLCARE
FL5646586OtherAETNA
FL00263OtherUNIVERSAL
FL252903300Medicaid
FLP511903OtherOPTIMUM
FLP01051882OtherRAILROAD MCR
FL235736OtherAVMED
FL2952298OtherCIGNA
FLP105218OtherFREEDOM
FLP01807450OtherCLEAR HEALTH ALLIANCE
FL00263OtherUNIVERSAL
FLP01807450OtherCLEAR HEALTH ALLIANCE
FLP511903OtherOPTIMUM
FL235736OtherAVMED