Individual
LALA RUSTAMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 S OCEAN DR APT 1233, HOLLYWOOD, FL 33019-2873
(786) 603-4057
Mailing address
3001 S OCEAN DR APT 1233, HOLLYWOOD, FL 33019-2873
(786) 603-4057
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
01/23/2023
Last updated
01/27/2023
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