# ALS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1447562996
- **Authorized official:** LAZARO R SAAVEDRA (PRESIDENT)
- **Authorized official phone:** (305) 592-1409

## Contact information

- **Practice address:** 8180 NW 36TH ST, SUITE 301, DORAL, FL 33166-6645
- **Practice address phone:** (305) 592-1409
- **Practice address fax:** (305) 592-1412
- **Mailing address:** 8180 NW 36TH ST, SUITE 301, DORAL, FL 33166-6645
- **Mailing address phone:** (305) 592-1409
- **Mailing address fax:** (305) 592-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC 8784 | FL | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 07/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NCC 8784 | AHCA | FL |