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Contact Information

JUSTIN ALFONSO, MD
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL32218-7273
 Phone: 904-223-3321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN ALFONSO · (Male)

NPI Number 1336502277
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2016
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME145433
Hospital affiliation(s)
  • SHANDS JACKSONVILLE MEDICAL CENTER - (Acute Care)
    655 W 8TH ST
    JACKSONVILLE, FL 32209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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