# ALO MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285343699
- **Authorized official:** ADA L RIVERA CRUZ MD (OWNER)
- **Authorized official phone:** (352) 589-9661

## Contact information

- **Practice address:** 1101 S EUSTIS ST, EUSTIS, FL 32726-5558
- **Practice address phone:** (352) 589-9661
- **Practice address fax:** (352) 589-5983
- **Mailing address:** 1101 S EUSTIS ST, EUSTIS, FL 32726-5558
- **Mailing address phone:** (352) 589-9661
- **Mailing address fax:** (352) 589-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME117748 | FLORIDA MEDICAL LICENSE NUMBER | FL |