# ST GEORGE HEALTH PARTNERS CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST GEORGE HEALTH PARTNERS CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396379426
- **Authorized official:** MR. OTTO ELCORO (OWNER)
- **Authorized official phone:** (786) 446-6316

## Contact information

- **Practice address:** 434 SW 12TH AVE STE 201, MIAMI, FL 33130-2432
- **Practice address phone:** (786) 860-5156
- **Mailing address:** 434 SW 12TH AVE STE 201, MIAMI, FL 33130-2432
- **Mailing address phone:** (786) 860-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2020
- **Last updated:** 02/27/2020