Organization
BENEFICA HEALTH CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTTO BALBINO ELCORO (PRESIDENT-OWNER)
(305) 642-8718
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST, SUITE# 109, MIAMI, FL 33125-4140
(305) 642-8718
(305) 642-8792
Mailing address
3383 NW 7TH ST, SUITE# 109, MIAMI, FL 33125-4140
(305) 642-8718
(305) 642-8792
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7167
AHCA LICENSE
FL
Enumeration date
10/04/2013
Last updated
10/04/2013
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