Provider Demographics
NPI:1578127601
Name:ALLIANCE HEALTH CARE OF MIAMI BEACH
Entity Type:Organization
Organization Name:ALLIANCE HEALTH CARE OF MIAMI BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
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 1:409 W HALLANDALE BEACH BLVD STE 211
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5301
Practice Address - Country:US
Practice Address - Phone:954-906-1200
Practice Address - Fax:954-906-1214
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE HEALTH CARE OF MIAMI BEACH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health