Organization
SPECTRUM MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSET M. SUAREZ (PRESIDENT OWNER)
(305) 266-3966
Entity
Organization
Contact information
Practice address
601 SW 57TH AVE, MIAMI, FL 33144-3977
(305) 266-3966
(305) 266-4669
Mailing address
601 SW 57TH AVE, MIAMI, FL 33144-3977
(305) 266-3966
(305) 266-4669
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7242
AHCA LICENSE
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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