Provider Demographics
NPI:1598541807
Name:EGG HEALTH CENTER CORP
Entity Type:Organization
Organization Name:EGG HEALTH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIOSDANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GALAN GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:305-497-5146
Mailing Address - Street 1:6450 W 21ST CT STE 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3942
Mailing Address - Country:US
Mailing Address - Phone:305-497-5146
Mailing Address - Fax:305-847-2492
Practice Address - Street 1:6450 W 21ST CT STE 201
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3942
Practice Address - Country:US
Practice Address - Phone:305-497-5146
Practice Address - Fax:305-847-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty