Provider Demographics
NPI:1184798027
Name:ALFORD, CONNIE ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:ELIZABETH
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CONNIE
Other - Middle Name:ALFORD
Other - Last Name:BARTRUFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1280 CREEKSIDE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1948
Mailing Address - Country:US
Mailing Address - Phone:239-687-5600
Mailing Address - Fax:239-687-5606
Practice Address - Street 1:1280 CREEKSIDE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1948
Practice Address - Country:US
Practice Address - Phone:239-687-5600
Practice Address - Fax:239-687-5606
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2013-09-24
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2009-09-01
Provider Licenses
StateLicense IDTaxonomies
FLME111333207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology