# CLINICAL CARE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457634115
- **Authorized official:** MR. ANTONIO DIAZ (PRESIDENT)
- **Authorized official phone:** (786) 631-4336

## Contact information

- **Practice address:** 11200 W. FLAGLER ST., SUITES 101-107, MIAMI, FL 33174-4210
- **Practice address phone:** (305) 370-3838
- **Practice address fax:** (305) 220-3466
- **Mailing address:** 2121 SW 3RD AVE, SUITE 500, MIAMI, FL 33129
- **Mailing address phone:** (786) 631-4336
- **Mailing address fax:** (305) 631-2806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 11/06/2019