Organization Name: | FLORIDA CARE HEALTH CENTER CORP |
NPI Number: | 1275544124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLINDA BAUZA (PRESIDENT / OWNER) |
Mailing Address: | 11300 Nw 87th Ct Suite 141 Hialeah Gardens |
State: | FL US |
Postal Code: | 330184586 |
Phone Number: | 3053648600 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 08/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | HCC7153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |