Organization
AVALON MEDICAL CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO GRACIANO REBOREDO (PRESIDENT)
(786) 304-7352
Entity
Organization
Contact information
Practice address
2340 SW 131ST CT, MIAMI, FL 33175-1157
(786) 304-7352
Mailing address
2340 SW 131ST CT, MIAMI, FL 33175-1157
(786) 304-7352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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