Provider Demographics
NPI:1477892891
Name:ALARCON, ANNA MAY BESARES (RPT)
Entity Type:Individual
Prefix:MISS
First Name:ANNA MAY
Middle Name:BESARES
Last Name:ALARCON
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5035 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-7309
Mailing Address - Country:US
Mailing Address - Phone:727-631-9053
Mailing Address - Fax:
Practice Address - Street 1:5035 6TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7309
Practice Address - Country:US
Practice Address - Phone:727-631-9053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10484174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator