Provider Demographics
NPI:1912203902
Name:BELT, ALYSSA ALVAREZ (CNM, ARNP, MSN)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:ALVAREZ
Last Name:BELT
Suffix:
Gender:F
Credentials:CNM, ARNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 OUTER RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6652
Mailing Address - Country:US
Mailing Address - Phone:407-898-6588
Mailing Address - Fax:407-896-3785
Practice Address - Street 1:867 OUTER RD STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6652
Practice Address - Country:US
Practice Address - Phone:407-898-6588
Practice Address - Fax:407-896-3785
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9206037367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003550500Medicaid