IndividualActive
Alphonza Bush
NPI 1376173450 · Case Manager/Care Coordinator · Enterprise, FL
Provider details
- NPI number
- 1376173450
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
51 Childrens Way
Enterprise, FL 32725-8135
Phone: (386) 668-4774
Approximate (ZIP-level) locationGet directions
Mailing address
51 Childrens Way
Enterprise, FL 32725-8135
Registry dates
- Enumerated
- 2020-01-17
- Last updated
- 2020-01-17
- Certified
- 2020-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.