Organization
MG CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMILLIAN GARCIA BA (PRESIDENT)
(305) 343-0673
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD STE 1R10, MIAMI, FL 33172-4511
(305) 909-9104
(813) 567-2400
Mailing address
1600 SW 145TH AVE, MIAMI, FL 33175-7469
(305) 343-0673
(813) 567-2400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010852400
—
FL
Enumeration date
07/24/2014
Last updated
10/15/2020
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