Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Enak Alfonso

Individual provider Speech-Language Pathologist · NPI 1942926308

Enak Alfonso is a Qualified Speech Language Pathologist in Jacksonville, Florida. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

8777 San Jose Blvd Ste 701
Jacksonville, FL 32217-4292
Phone: (904) 733-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SZ10870

Record details

NPI number1942926308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address7738 A C Skinner Pkwy Apt 6305, Jacksonville, FL 32256-8159

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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