Provider Demographics
NPI:1144464686
Name:ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC.
Entity type:Organization
Organization Name:ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-865-1989
Mailing Address - Street 1:21406 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1144
Mailing Address - Country:US
Mailing Address - Phone:305-865-1989
Mailing Address - Fax:305-868-4298
Practice Address - Street 1:21406 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1144
Practice Address - Country:US
Practice Address - Phone:305-865-1989
Practice Address - Fax:305-868-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN