# QUALCARE MEDICAL CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CALIFORNIA CLUB MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770872566
- **Authorized official:** MARK GRNJA (CFO)
- **Authorized official phone:** (954) 929-3449

## Contact information

- **Practice address:** 790 IVES DAIRY RD OP-5 WEST, MIAMI, FL 33179-2425
- **Practice address phone:** (305) 405-0365
- **Practice address fax:** (305) 405-0370
- **Mailing address:** 14690 SPRING HILL DR, STE 101, SPRING HILL, FL 34609-8102
- **Mailing address phone:** (352) 799-0046
- **Mailing address fax:** (352) 799-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | HCC6244 | FL | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 10/01/2012