| Belloc Care LLC | |
|
102 Park Place Blvd Building D Suite# 1 Kissimmee FL 34741-2358 | |
| (407) 847-5805 | |
| (407) 343-5804 |
| Full Name | Belloc Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 102 Park Place Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | Rene Cajuste (CEO) |
| Authorized Official Contact | 4078475805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belloc Care LLC 102 Park Place Blvd Building D Suite #1 Kissimmee FL 34741-2358 Ph: (407) 847-5805 | Belloc Care LLC 102 Park Place Blvd Building D Suite# 1 Kissimmee FL 34741-2358 Ph: (407) 847-5805 |
| NPI Number | 1902950504 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902950504 | NPI | - | NPPES |
| 268371700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME88797 (Florida) | Primary |
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