Organization
ALS MEDICAL GROUP MIAMI GARDENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELA NICOLAS (OWNER)
(305) 303-9154
Entity
Organization
Contact information
Practice address
4888 NW 183RD ST STE 112, MIAMI GARDENS, FL 33055-2940
(305) 317-3948
(305) 549-5314
Mailing address
4888 NW 183RD ST STE 112, MIAMI GARDENS, FL 33055-2940
(305) 317-3948
(305) 549-5314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
10/24/2022
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