Organization
ALFA DIAGNOSTIC MOBILE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLORIA PALACIOS (OWNER)
(305) 554-1737
Entity
Organization
Contact information
Practice address
8370 W FLAGLER ST, SUITE 246, MIAMI, FL 33144-2040
(305) 220-9293
(305) 554-1737
Mailing address
8370 W FLAGLER ST, STE246, MIAMI, FL 33144-2040
(305) 220-9293
(305) 554-1737
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9996
BCBSFL PROVIDER NUMBER
FL
Enumeration date
07/18/2006
Last updated
09/16/2008
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