Organization · NPI-2

Alfonso Ot Service Corp

Clinic/Center · Hialeah, FL

NPI number1063350668
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1063350668
Entity type
Organization (NPI-2)
Legal business name
Alfonso Ot Service Corp
Organization subpart
No
Enumeration date
Mar 24, 2026
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

821 W 67th St
Hialeah, FL 33012-6464

Phone 786-366-1833

Mailing address

821 W 67th St
Hialeah, FL 33012-6464

Authorized official

Anamary Alfonso
Owner
7863661833

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