Organization
A O HEALTH SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORELVIS ORTIZ (OWNER)
(786) 731-0920
Entity
Organization
Contact information
Practice address
1428 E 4TH AVE, HIALEAH, FL 33010-3528
(786) 731-0920
(786) 362-6675
Mailing address
1428 E 4TH AVE, HIALEAH, FL 33010-3528
(786) 731-0920
(786) 362-6675
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
FL
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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