| Organization Name: | COMMUNITY MEDICAL CARE CENTER |
| NPI Number: | 1477858751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTONIO GONZALEZ (MD) |
| Mailing Address: | 214 S 1st St Immokalee |
| State: | FL US |
| Postal Code: | 341423904 |
| Phone Number: | 2396575800 |
| Fax Number: | 2396579600 |
| NPI Enumeration Date: | 01/18/2011 |
| NPI Last Update Date: | 01/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ACN248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |