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Organization
YOUR CARE HEALTH NETWORK LLC
Active
Organization
YOUR CARE HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ROLANDO PONCE GARCIA (OWNER/MANAGING MEMBER)
(305) 381-5369
Entity
Organization
Contact information
Practice address
7171 SW 24TH ST, SUITE 305, MIAMI, FL 33155-1449
(305) 381-5369
(786) 362-5417
Mailing address
7171 SW 24TH ST, SUITE 305, MIAMI, FL 33155-1449
(305) 381-5369
(786) 362-5417
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10768
AHCA HEALTH CARE CLINIC LICENSE
FL
Enumeration date
06/29/2016
Last updated
12/12/2016
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