Jaller Raad INC
NPI #1396792362 in Key Biscayne, Florida
Provider Information
- NPI Number
- 1396792362
- Entity Type
- Organization
- Organization Name
- Jaller Raad INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 27, 2006
- Last Updated
- Mar 15, 2011
Practice Location
- Address
- 943 CRANDON BLVD
- City
- Key Biscayne
- State
- Florida
- ZIP Code
- 33149-2753
- Phone
- (305) 365-6776
Authorized Official
- Name
- ALFREDO VILLAVERDE ZAYAS
- Title
- ADMINISTRATOR OWNER
- Phone
- (305) 260-9177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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