Bacallao Health Servies,corp

NPI #1710118492 in North Bay Village, Florida

Provider Information

NPI Number: 1710118492
Entity Type: Organization
Organization Name: Bacallao Health Servies,corp
Primary Specialty: Ophthalmology
Enumeration Date: Jul 29, 2009
Last Updated: Jul 29, 2009

Practice Location

Address: 7601 E TREASURE DR
Address 2: SUITE 1703
City: North Bay Village
State: Florida
ZIP Code: 33141-4391
Phone: (786) 200-3217

Authorized Official

Name: JORGE J BACALLAO, M.D
Title: PRESIDENT
Phone: (786) 200-3217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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