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Organization
ALS MEDICAL GROUP INC
Active
Organization
ALS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO R SAAVEDRA (PRESIDENT)
(305) 592-1409
Entity
Organization
Contact information
Practice address
8180 NW 36TH ST, SUITE 301, DORAL, FL 33166-6645
(305) 592-1409
(305) 592-1412
Mailing address
8180 NW 36TH ST, SUITE 301, DORAL, FL 33166-6645
(305) 592-1409
(305) 592-1412
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC 8784
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCC 8784
AHCA
FL
Enumeration date
07/12/2010
Last updated
07/12/2010
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