MEDICARE: ZOILA M ALEN M D P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine

General Provider Information

NPI Number	:	1265605521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOILA M ALEN M D P A

Provider Business Mailing Address
First Line	:	1578 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3810
Country	:	US
Telephone Number	:	305-557-3889
Fax Number	:	305-557-8830

Provider Business Practice Location Address
First Line	:	1578 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-3810
Country	:	US
Telephone Number	:	305-557-3889
Fax Number	:	305-557-8830

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	ZOILA M ALEN
Credential	:	MD
Telephone Number	:	305-557-3889

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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