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Organization

ALINA HEALTH MEDICAL CENTER CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAVIL JOSEPH MD (OWNER)
(305) 767-0887
Entity
Organization

Contact information

Practice address
4800 N STATE ROAD 7 STE C, LAUDERDALE LAKES, FL 33319-5811
(305) 767-0887
Mailing address
4800 N STATE ROAD 7 STE ABANDC, LAUDERDALE LAKES, FL 33319-5811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
251S00000X
Community/Behavioral Health Agency
261QM0855X
Adolescent and Children Mental Health Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
02/15/2022
Last updated
02/15/2022
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