# JC MEDICAL OFFICE INC

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

## Provider details

- **NPI number:** 1548357783
- **Authorized official:** DR. JESUS REALES M.D. (PRESIDENT)
- **Authorized official phone:** (305) 456-9267

## Contact information

- **Practice address:** 3300 W 84TH ST, BAY \# 16, HIALEAH, FL 33018-4903
- **Practice address phone:** (305) 456-9267
- **Practice address fax:** (305) 456-9394
- **Mailing address:** 3300 W 84TH ST, BAY \# 16, HIALEAH, FL 33018-4903
- **Mailing address phone:** (305) 456-9267
- **Mailing address fax:** (305) 456-9394

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 04/13/2016
