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Organization
JCIA FAMILY THERAPY CORP.
Active
Organization
JCIA FAMILY THERAPY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A ROCA ULLOA (PRESIDENT)
(786) 542-9896
Entity
Organization
Contact information
Practice address
1490 W 49TH PLACE SUITE 412, HIALEAH, FL 33012-8142
(786) 542-9896
(786) 685-2167
Mailing address
1490 W 49TH PLACE SUITE 412, HIALEAH, FL 33012-8142
(786) 542-9896
(786) 685-2167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/17/2021
Last updated
07/11/2025
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