Organization
BEACON HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SIVOLI (EXECUTIVE DIRECTOR)
(414) 241-9480
Entity
Organization
Contact information
Practice address
2750 TAYLOR AVE STE A39, ORLANDO, FL 32806-4474
(407) 676-4068
Mailing address
2750 TAYLOR AVE STE A39, ORLANDO, FL 32806-4474
(407) 676-4068
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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