Organization
ALRA
Active
Other names
ALRA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL RAMOS RPSGT (OWNER)
(904) 384-0447
Entity
Organization
Contact information
Practice address
3658 BOONE PARK AVE, JACKSONVILLE, FL 32205-9031
(904) 384-0447
(904) 384-0447
Mailing address
3658 BOONE PARK AVE, JACKSONVILLE, FL 32205-9031
(904) 384-0447
(904) 384-0447
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC3852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2810
BCBS
FL
Enumeration date
12/18/2006
Last updated
08/19/2009
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