Organization
BELLOC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE CAJUSTE MD (CEO)
(407) 847-5805
Entity
Organization
Contact information
Practice address
102 PARK PLACE BLVD, BUILDING D SUITE# 1, KISSIMMEE, FL 34741-2358
(407) 847-5805
(407) 343-5804
Mailing address
102 PARK PLACE BLVD, BUILDING D SUITE #1, KISSIMMEE, FL 34741-2358
(407) 847-5805
(407) 343-5804
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME88797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268371700
—
FL
Enumeration date
01/22/2007
Last updated
04/29/2013
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