Organization
ALTA MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENZ R CELESTIN (MANAGING OWNER)
(954) 270-4325
Entity
Organization
Contact information
Practice address
3537 N PINE ISLAND RD, SUNRISE, FL 33351-6638
(954) 270-4325
Mailing address
3537 N PINE ISLAND RD, SUNRISE, FL 33351-6638
(954) 270-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
10/02/2024
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