| Benjamin C Balarezo Sole Mbr | |
|
1801 Ne 164th St North Miami Beach FL 33162-4109 | |
| (305) 454-9610 | |
| (305) 705-3524 |
| Full Name | Benjamin C Balarezo Sole Mbr |
|---|---|
| Speciality | Clinic/center |
| Location | 1801 Ne 164th St, North Miami Beach, Florida |
| Authorized Official Name and Position | Benjamin C Balarezo (MANAGER) |
| Authorized Official Contact | 3059518300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin C Balarezo Sole Mbr 1801 Ne 164th St North Miami Beach FL 33162-4109 Ph: (305) 454-9610 | Benjamin C Balarezo Sole Mbr 1801 Ne 164th St North Miami Beach FL 33162-4109 Ph: (305) 454-9610 |
| NPI Number | 1588910525 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588910525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH9439 (Florida) | Primary |
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