| Betancourt Community Center Corp | |
|
1985 Nw 88th Ct Ste 201 Doral FL 33172-2638 | |
| (786) 282-6372 | |
| Not Available |
| Full Name | Betancourt Community Center Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1985 Nw 88th Ct Ste 201, Doral, Florida |
| Authorized Official Name and Position | Candido O Betancourt (OWNER) |
| Authorized Official Contact | 7862826372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Betancourt Community Center Corp 1985 Nw 88th Ct Ste 201 Doral FL 33172-2638 Ph: (786) 282-6372 | Betancourt Community Center Corp 1985 Nw 88th Ct Ste 201 Doral FL 33172-2638 Ph: (786) 282-6372 |
| NPI Number | 1144815473 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144815473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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