Provider Demographics
NPI:1447667720
Name:ALCINDOR, NEVINSTHON S (CRT)
Entity type:Individual
Prefix:MR
First Name:NEVINSTHON
Middle Name:S
Last Name:ALCINDOR
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 SE 22ND CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1238
Mailing Address - Country:US
Mailing Address - Phone:305-812-0206
Mailing Address - Fax:786-404-3711
Practice Address - Street 1:1938 SE 22ND CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-1238
Practice Address - Country:US
Practice Address - Phone:305-812-0206
Practice Address - Fax:786-404-3711
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT13323227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified