CCN: 687387 NPI: 1659453355 Organization

BONAVENTURE HEALTH SERVICES INC

13899 BISCAYNE BLVD , SUITE 302
NORTH MIAMI BEACH, FL 331811600

Contact Information

Phone 3058935364
Fax 3058935660
Enumeration Date 2006-10-20
Last Updated 2011-12-16

Taxonomies

Code: 251J00000X License State: FL License: 229458
Code: 251F00000X License State: FL License: 299993852
Code: 251G00000X License State: FL License: 299993852
Code: 253Z00000X License State: FL License: 299993852
Code: 251E00000X (Primary) License State: FL License: 299993852

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 33124

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33124

providerType 36

specialPaymentIndicator