Organization
DELTA HEALTHCARE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MANUEL JUNCOSA CABRERA (PRESIDENT)
(786) 615-9388
Entity
Organization
Contact information
Practice address
8890 SW 24TH ST, SUITE 207, MIAMI, FL 33165-2060
(786) 615-9388
(844) 319-2949
Mailing address
8890 SW 24TH ST, SUITE 207, MIAMI, FL 33165-2060
(786) 615-9388
(844) 319-2949
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC10775
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10775
AHCA
FL
Enumeration date
10/13/2016
Last updated
10/13/2016
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