Individual
MR. BORIS ALZUGARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 874-3881
(305) 526-2042
Mailing address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 874-3881
(305) 526-2042
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MM28235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM28235
STATE LICENSE
FL
Enumeration date
12/06/2011
Last updated
12/06/2011
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