Organization
MEDLANDS PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURI O ALVAREZ (PRESIDENT)
(305) 283-7956
Entity
Organization
Contact information
Practice address
15830 SW 252ND ST, HOMESTEAD, FL 33031-2018
(305) 283-7956
Mailing address
15830 SW 252ND ST, HOMESTEAD, FL 33031-2018
(305) 283-7956
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000187601
—
FL
01
—
Y127N
BCBSFL
FL
Enumeration date
06/09/2008
Last updated
02/01/2017
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