Organization
ALLASSO WELLNESS COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE LEOBARDO DIAZ (PRESIDENT)
(305) 335-0707
Entity
Organization
Contact information
Practice address
1735 W 65TH ST, HIALEAH, FL 33012-6111
(305) 335-0707
Mailing address
1735 W 65TH ST, HIALEAH, FL 33012-6111
(305) 335-0707
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
11/08/2010
Last updated
08/25/2011
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