Provider Demographics
NPI:1265427793
Name:ALEVATO, LILIAN THEREZINHA (MD)
Entity type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:THEREZINHA
Last Name:ALEVATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LILIAN
Other - Middle Name:THEREZINHA
Other - Last Name:ALEVATO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3918 BROOKMYRA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5104
Mailing Address - Country:US
Mailing Address - Phone:407-851-4919
Mailing Address - Fax:
Practice Address - Street 1:1005 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6707
Practice Address - Country:US
Practice Address - Phone:407-232-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist