Organization
ALFONSO OT SERVICE CORP
Active
Organization
ALFONSO OT SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAMARY ALFONSO OTR (OWNER)
(786) 366-1833
Entity
Organization
Contact information
Practice address
821 W 67TH ST, HIALEAH, FL 33012-6464
(786) 366-1833
Mailing address
821 W 67TH ST, HIALEAH, FL 33012-6464
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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