Organization
CLINIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIBAL PEREZ DE GRACIA (PRESIDENT)
(305) 557-7777
Entity
Organization
Contact information
Practice address
3800 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 557-7777
(305) 557-6352
Mailing address
3800 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 557-7777
(305) 557-6352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
09/16/2013
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