Organization
MASTER CARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN DE LA CRUZ GONZALEZ (OWNER/PRESIDENT)
(305) 223-7913
Entity
Organization
Contact information
Practice address
11865 SW 26TH ST, STE J9, MIAMI, FL 33175-2400
(305) 223-7913
(305) 223-7912
Mailing address
11865 SW 26TH ST, STE J9, MIAMI, FL 33175-2400
(305) 223-7913
(305) 223-7912
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4904
FL
Other
Enumeration date
10/11/2005
Last updated
09/10/2008
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