Healthcare Provider Details

I. General information

NPI: 1740028331
Provider Name (Legal Business Name): CENTURION HEALTHCARE INTERNATIONAL, S.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9360 CALLE PRINCIPAL
COXEN HOLE ROATAN
99999
HN

IV. Provider business mailing address

PO BOX 39192
FORT LAUDERDALE FL
33339-9192
US

V. Phone/Fax

Practice location:
  • Phone: 305-744-2365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RENE SAVOFF
Title or Position: DIRECTOR
Credential:
Phone: 305-774-2365