Organization
VIDACARE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO A BETANCOURT (OWNER)
(786) 295-8572
Entity
Organization
Contact information
Practice address
8501 SW 124TH AVE STE 205A, MIAMI, FL 33183-4633
(786) 295-8572
Mailing address
8501 SW 124TH AVE STE 205A, MIAMI, FL 33183-4633
(786) 295-8572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/12/2021
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