Provider Demographics
NPI:1942605993
Name:TRUE HEALTH MEDICAL CORP
Entity Type:Organization
Organization Name:TRUE HEALTH MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-420-5111
Mailing Address - Street 1:8504 NW 103RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4870
Mailing Address - Country:US
Mailing Address - Phone:786-420-5111
Mailing Address - Fax:786-803-8146
Practice Address - Street 1:8504 NW 103RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-4870
Practice Address - Country:US
Practice Address - Phone:786-420-5111
Practice Address - Fax:786-438-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-01
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100132261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000461300Medicaid
FL000461300Medicaid