Organization
IDALMIS ALVAREZ GOMEZ NP LLC
Active
Organization
IDALMIS ALVAREZ GOMEZ NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALMIS ALVAREZ GOMEZ APRN (PRESIDENT)
(305) 828-4155
Entity
Organization
Contact information
Practice address
1435 W 49TH PL STE 201, HIALEAH, FL 33012-3147
(305) 828-4155
(305) 828-9339
Mailing address
1435 W 49TH PL STE 201, HIALEAH, FL 33012-3147
(305) 828-4155
(305) 828-9339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11004592
APRN LICENSE
FL
Enumeration date
02/26/2020
Last updated
02/26/2020
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