NPI

60th Avenue Alf, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2013-06-27
Last updated
2013-06-27

Specialties

Licenses

License FL
AL9932

Location

Practice location
2800 60th Ave W
City
Bradenton FL
Postal code
34207-4324
Phone
(941) 752-1990

Organization contact

Name
CHRISTOPHER WETTIG
Title
CFO
Phone
3166166288

Medicare

PECOS
No PECOS enrollment row matched this NPI.

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