Bacallao Health Services Corp

NPI 1083861694 - Ophthalmology - 207W00000X

NPI Details
NPI 1083861694
Enumeration Date 08/26/2008
Last Updated 08/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JORGE J JORGE
Position PRESIDENT
Phone (305) 541-8849
Fax (305) 541-4658
Practice Location
2471 NW 7TH ST
MIAMI FL, 33125-3150, US
Phone (305) 541-8849
Fax (305) 541-4658
Business Location
2471 NW 7TH ST
MIAMI FL, 33125-3150, US
Phone (305) 541-8849
Fax (305) 541-4658
Toxanomy
Taxonomy Code 207W00000X
License State Florida
License Number ME92076
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According to our database, Bacallao Health Services Corp NPI is 1083861694, taxonomy code is 207W00000X and license number is ME92076, license state is located at Florida. Bacallao Health Services Corp physically located at 2471 Nw 7th St, Miami FL, 33125-3150. NPI Number 1033115704 has the healthcare provider type.

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1083861694 NPI number is provided on an as is basis without warranty of any kind. 1083861694 is maintained by the National Plan & Provider Enumeration System. The contents of Bacallao Health Services Corp are for informational purposes only.