Organization
CLINICAL CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO DIAZ (PRESIDENT)
(786) 631-4336
Entity
Organization
Contact information
Practice address
4980 W. 10TH AVE, HIALEAH, FL 33012
(305) 556-0866
(305) 556-7832
Mailing address
2121 SW 3RD AVE, SUITE 500, MIAMI, FL 33129
(786) 631-4336
(305) 631-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000752500
—
FL
Enumeration date
11/02/2006
Last updated
02/17/2020
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