Organization · NPI-2

Als Medical Group INC

General Practice · Doral, FL

NPI number1447562996
StatusActive
Last updated in NPPESJul 12, 2010

Details

NPI
1447562996
Entity type
Organization (NPI-2)
Legal business name
Als Medical Group INC
Organization subpart
No
Enumeration date
Jul 12, 2010
Last updated
Jul 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeHCC 8784FLYes

Practice location

8180 Nw 36th St
Suite 301
Doral, FL 33166-6645

Phone 305-592-1409 · Fax 305-592-1412

Mailing address

8180 Nw 36th St
Suite 301
Doral, FL 33166-6645

Phone 305-592-1409 · Fax 305-592-1412

Authorized official

Lazaro R Saavedra
President
3055921409

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