| Organization Name: | COMMUNITY MEDICAL CONCEPTS INC |
| NPI Number: | 1407157308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDRE S. ESTEVEZ (EXECUTIVE DIRECTOR) |
| Mailing Address: | 9753 S Orange Blossom Trl Suite 106 Orlando |
| State: | FL US |
| Postal Code: | 328377841 |
| Phone Number: | 4079223345 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2010 |
| NPI Last Update Date: | 12/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME 0067164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |