Organization
JC MEDICAL CLINIC CORP
Active
Organization
JC MEDICAL CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO D LOVERA (PRESIDENT)
(954) 717-4200
Entity
Organization
Contact information
Practice address
4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
(954) 717-4200
(954) 717-4459
Mailing address
4010 NW 34TH ST, LAUDERDALE LAKES, FL 33319-5721
(954) 717-4200
(954) 717-4459
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7721
FL
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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