Provider Demographics
NPI:1891502290
Name:MERIDIAN HEALTHCARE ADVISORY GROUP, LLC
Entity type:Organization
Organization Name:MERIDIAN HEALTHCARE ADVISORY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ADANYS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO-ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-469-1722
Mailing Address - Street 1:8370 W FLAGLER ST STE 252
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2040
Mailing Address - Country:US
Mailing Address - Phone:786-378-5800
Mailing Address - Fax:
Practice Address - Street 1:8370 W FLAGLER ST STE 252
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2040
Practice Address - Country:US
Practice Address - Phone:786-378-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty