Provider Demographics
NPI:1295953008
Name:ALFORD-MORALES, SAMANTHA C (MD)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:C
Last Name:ALFORD-MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:C
Other - Last Name:ALFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:38754 STATE ROAD 80
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-5615
Mailing Address - Country:US
Mailing Address - Phone:561-996-1600
Mailing Address - Fax:561-837-5332
Practice Address - Street 1:38754 STATE ROAD 80
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-5615
Practice Address - Country:US
Practice Address - Phone:561-996-1600
Practice Address - Fax:561-837-5332
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92101208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277981100Medicaid
FL95097OtherBLUE CROSS BLUE SHIELD
FL95097OtherBLUE CROSS BLUE SHIELD