Provider Demographics
NPI:1396792818
Name:ALLEVIA MEDICAL, LLC
Entity type:Organization
Organization Name:ALLEVIA MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINNCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-371-2958
Mailing Address - Street 1:PO BOX 600888
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32260-0888
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14482 CHERRY LAKE DR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-5178
Practice Address - Country:US
Practice Address - Phone:904-371-2958
Practice Address - Fax:866-808-7982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty