Organization
JC CLINIC LLC.
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIDIA WONG RN (PRESIDENT)
(786) 427-7442
Entity
Organization
Contact information
Practice address
2697 SW 16TH TERRACE, MIAMI, FL 33145
(305) 456-9892
(305) 222-1352
Mailing address
2697 SW 16 TERRAS, MIAMI, FL 33145
(305) 456-9892
(305) 222-9352
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9260896
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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