Organization
CONTINUCARE MEDICAL MANAGEMENT, INC.
Active
Other names
Continucare Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEMMA ROSELLO (VICE PRESIDENT)
(305) 500-2000
Entity
Organization
Contact information
Practice address
21507 VILLAGE LAKES SHOPPING CTR DR, LAND O LAKES, FL 34639-5101
(813) 949-4224
(813) 949-2809
Mailing address
6101 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2055
(305) 500-2114
(305) 370-6024
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC 5452
FL
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001887104
—
FL
Enumeration date
07/18/2006
Last updated
06/10/2016
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