Organization
CLINICAL MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGNACIO ALZUGARAY JR. ARNP (PRESIDENT)
(786) 355-8027
Entity
Organization
Contact information
Practice address
10550 NW 77 COURT, HIALEAH GARDEN, FL 33016-7084
(305) 826-3072
(305) 826-3046
Mailing address
12317 SW 20TH TER, MIAMI, FL 33175-7710
(786) 355-8027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9267945
FL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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