Organization
SOUTH FLORIDA FAMILY HEALTH AND RESEARCH CENTERS, LLC.
Active
Other names
South Florida Family Health & Research Centers, Lice Cleanique, Lice Cleanique, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RIVERA (AUTHORIZED OFFICIAL)
(305) 387-0081
Entity
Organization
Contact information
Practice address
13500 SW 88TH STR, SUITE 175, MIAMI, FL 33186-1528
(305) 387-0051
(305) 387-0053
Mailing address
13500 SW 88TH ST STE 175, MIAMI, FL 33186-1528
(305) 387-0081
(305) 387-0053
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
HCC8585
FL
261QH0100X
Health Service Clinic/Center
HCC8585
FL
261QM1300X
Multi-Specialty Clinic/Center
HCC8585
FL
261QP2300X
Primary Care Clinic/Center
Primary
HCC8585
FL
261QR1100X
Research Clinic/Center
HCC8585
FL
261QS1000X
Student Health Clinic/Center
HCC8585
FL
Other
Enumeration date
06/11/2009
Last updated
10/05/2018
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