Organization
ALZUGARAY THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS ALZUGARAY (PRESIDENT)
(305) 874-3881
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 874-3881
Mailing address
6595 NW 36TH ST, SUITE 200, VIRGINIA GARDENS, FL 33166-6979
(305) 874-3881
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MA64489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM28235
STATE LICENSE
FL
Enumeration date
12/05/2011
Last updated
12/05/2011
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