Organization
JALLER RAAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO VILLAVERDE ZAYAS (ADMINISTRATOR OWNER)
(305) 260-9177
Entity
Organization
Contact information
Practice address
943 CRANDON BLVD, KEY BISCAYNE, FL 33149-2753
(305) 365-6776
(305) 392-1750
Mailing address
943 CRANDON BLVD, KEY BISCAYNE, FL 33149-2753
(305) 365-6776
(305) 392-1750
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
686609
FL
Other
Enumeration date
05/27/2006
Last updated
03/15/2011
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