# C1 MANAGED CARE PARTNERS

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

## Provider details

- **NPI number:** 1467824250
- **Authorized official:** MARY C MARTINEZ (VP OPERATIONS)
- **Authorized official phone:** (954) 703-6065

## Contact information

- **Practice address:** 2400 E COMMERCIAL BLVD, STE 101, FORT LAUDERDALE, FL 33308-4030
- **Practice address phone:** (954) 703-6065
- **Practice address fax:** (888) 972-1875
- **Mailing address:** 2400 E COMMERCIAL BLVD, STE 101, FORT LAUDERDALE, FL 33308-4030
- **Mailing address phone:** (954) 703-6065
- **Mailing address fax:** (888) 972-1875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2015
- **Last updated:** 10/20/2015