Provider Demographics
NPI:1376330282
Name:ALCAZAR FLINT, ELENA MARGARITA
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:MARGARITA
Last Name:ALCAZAR FLINT
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:MARGARITA
Other - Last Name:ALCAZAR ZANONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:820 SENECA MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4741
Mailing Address - Country:US
Mailing Address - Phone:786-653-2616
Mailing Address - Fax:
Practice Address - Street 1:1150 S SEMORAN BLVD STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-1424
Practice Address - Country:US
Practice Address - Phone:407-704-7811
Practice Address - Fax:407-382-0659
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health