Alra is a Clinic/center in Jacksonville, Florida. Alra practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Alra is 1649333162. The last update date is 2009-08-19.
Alra's current location address is 3658 Boone Park Ave, Jacksonville, Florida. You can contact this provider via phone number 9043840447 and fax number 9043840447. The mailing address for Alra is 3658 Boone Park Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alra |
|---|---|
| Address | 3658 Boone Park Ave, Jacksonville, Florida |
| Phone Number | 9043840447 |
| Fax Number | 9043840447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ramos Al |
| Credentials | RPSGT |
| Telephone Number | 9043840447 |
NPI Number Detail
| NPI Number | 1649333162 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2009-08-19 |
Provider Mailing Address Detail
| Address | 3658 Boone Park Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322059031 |
| Phone Number | 9043840447 |
| Fax Number | 9043840447 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | HCC3852 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V2810 | FL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alra?
The Alra has been issued the NPI (National Provider Identifier) 1649333162 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Alra is physically located?
The Alra is physically situated at the following address: 3658 Boone Park Ave, Jacksonville, FL, 322059031.
What is Alra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alra is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
When was the Alra's 1649333162 issued?
The Alra's 1649333162 was issued on 2006-12-18.
As of what date were the details related to Alra most recently updated or revised?
The information pertaining to Alra, including its address, specialty, and other relevant details, was last updated or revised on 2009-08-19.