| Alra | |
|
3658 Boone Park Ave Jacksonville FL 32205-9031 | |
| (904) 384-0447 | |
| (904) 384-0447 |
| Full Name | Alra |
|---|---|
| Speciality | Clinic/center |
| Location | 3658 Boone Park Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Al Ramos (OWNER) |
| Authorized Official Contact | 9043840447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alra 3658 Boone Park Ave Jacksonville FL 32205-9031 Ph: (904) 384-0447 | Alra 3658 Boone Park Ave Jacksonville FL 32205-9031 Ph: (904) 384-0447 |
| NPI Number | 1649333162 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649333162 | NPI | - | NPPES |
| V2810 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC3852 (Florida) | Primary |
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