Organization
SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
Active
Other names
Community Care Plan
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUPE RIVERO (SVP & CHIEF BUSINESS DEV. OFFICER)
(954) 622-3237
Entity
Organization
Contact information
Practice address
1643 HARRISON PKWY STE H-200, SUNRISE, FL 33323-3091
(954) 622-3237
Mailing address
1643 HARRISON PKWY STE H-200, SUNRISE, FL 33323-3091
(954) 622-3237
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100142110
—
FL
Enumeration date
09/05/2014
Last updated
09/20/2024
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