| Alo Medical Llc | |
|
1101 S Eustis St Eustis FL 32726-5558 | |
| (352) 589-9661 | |
| (352) 589-5983 |
| Full Name | Alo Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 1101 S Eustis St, Eustis, Florida |
| Authorized Official Name and Position | Ada L Rivera Cruz (OWNER) |
| Authorized Official Contact | 3525899661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alo Medical Llc 1101 S Eustis St Eustis FL 32726-5558 Ph: (352) 589-9661 | Alo Medical Llc 1101 S Eustis St Eustis FL 32726-5558 Ph: (352) 589-9661 |
| NPI Number | 1285343699 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 2466821228 |
|---|---|
| Medicare Enrollment ID | O20221217000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285343699 | NPI | - | NPPES |
| ME117748 | Other | FL | FLORIDA MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ada L Rivera Cruz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821321977 PECOS PAC ID: 2062709355 Enrollment ID: I20160930000468 |
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