Organization Name: | CLINICAL CARE ASSOCIATES, INC |
NPI Number: | 1326127457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONIO DIAZ (PRESIDENT) |
Mailing Address: | 4765 West 8 Avenue Second Floor Hialeah |
State: | FL US |
Postal Code: | 33012 |
Phone Number: | 3055560789 |
Fax Number: | 3055567832 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |