Bacallao Health Servies,Corp

LBN: Bacallao Health Servies,Corp
Bacallao Health Servies,Corp is an health care organization with primary practice located at 7601 E Treasure Dr Suite 1703, North Bay Village FL 33141-4391. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Bacallao Health Servies,Corp can be contacted via phone (786) 200-3217, or through Bacallao, Jorge J via phone (786) 200-3217.

Contact Information

Primary practice address
7601 E Treasure Dr Suite 1703 North Bay Village FL 33141-4391
Phone: (786) 200-3217
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bacallao, Jorge J Doctor of Medicine (MD)
Phone: (786) 200-3217

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME 92076 Florida

Profile Details

NPI number 1710118492
LBN Legal business name Bacallao Health Servies,Corp
DBA Doing business as
Authorized official Bacallao, Jorge J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2009
Last updated Jul 29th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710118492 NPPES
Florida MEDICAID 268789500

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