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Organization
QUALCARE MEDICAL CENTERS LLC
Active
Organization
QUALCARE MEDICAL CENTERS LLC
Active
Other names
CALIFORNIA CLUB MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRNJA (CFO)
(954) 929-3449
Entity
Organization
Contact information
Practice address
790 IVES DAIRY RD OP-5 WEST, MIAMI, FL 33179-2425
(305) 405-0365
(305) 405-0370
Mailing address
14690 SPRING HILL DR, STE 101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC6244
FL
Other
Enumeration date
04/01/2011
Last updated
10/01/2012
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