BENEFICA HEALTH CENTER, CORP
Ambulatory Health at 7 St, Miami, FL

License number
Florida HCC7167
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MR. OTTO BALBINO ELCORO
Title: PRESIDENT-OWNER
Phone: (305) 642-8718
Address
Address
3383 NW 7Th St, Miami, FL 33125
National Provider ID: 1821425802
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BENEFICA HEALTH CENTER, CORP

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Benefica Health Center Corporation
Inactive reason:
AMENDMENT
Registration:
Mar 15, 2004
Inactive since:
Dec 9, 2009
Phone:
(305) 642-8718 (Phone)
Addresses:
3383 NW 7 St #109, Miami, FL 33125 (Physical)
3923 NW 7 St, Miami, FL 33126
State ID:
P04000046258
Business type:
Florida Profit Corporation
President, Directors:
Otto Coro (President, Director), 3383 NW 7 St #109, Miami, FL 33125 (Physical),Jorge L. Gonzalez President, Director, inactive
Agent:
Carlos Perez,13229 NW 11 Ter, Miami, FL 33182 (Physical)
EIN:
200861844

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