Organization
ALO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA L RIVERA CRUZ MD (OWNER)
(352) 589-9661
Entity
Organization
Contact information
Practice address
1101 S EUSTIS ST, EUSTIS, FL 32726-5558
(352) 589-9661
(352) 589-5983
Mailing address
1101 S EUSTIS ST, EUSTIS, FL 32726-5558
(352) 589-9661
(352) 589-5983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME117748
FLORIDA MEDICAL LICENSE NUMBER
FL
Enumeration date
11/15/2022
Last updated
11/15/2022
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