Provider Demographics
NPI:1821018797
Name:SEARS, ALFRED C (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:C
Last Name:SEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12794 W FOREST HILL BLVD STE 16
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4757
Mailing Address - Country:US
Mailing Address - Phone:561-784-7852
Mailing Address - Fax:561-784-7851
Practice Address - Street 1:12794 W FOREST HILL BLVD STE 16
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4757
Practice Address - Country:US
Practice Address - Phone:561-784-7852
Practice Address - Fax:561-784-7851
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0061402207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14981Medicare ID - Type Unspecified