Provider Demographics
NPI:1538133467
Name:ANGELO M ALVES MD PA
Entity Type:Organization
Organization Name:ANGELO M ALVES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:MOTA
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-527-8467
Mailing Address - Street 1:5880 49TH ST N
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2142
Mailing Address - Country:US
Mailing Address - Phone:727-527-8467
Mailing Address - Fax:727-527-1645
Practice Address - Street 1:5880 49TH ST N
Practice Address - Street 2:SUITE 108
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-2142
Practice Address - Country:US
Practice Address - Phone:727-527-8467
Practice Address - Fax:727-527-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00234132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D56253Medicare UPIN
FLAH963Medicare PIN