Organization
OUR MEDICAL COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH CASTRANOVA III AGENT (CREDENTIALING AGENT)
(305) 576-9999
Entity
Organization
Contact information
Practice address
6850 CORAL WAY, MIAMI, FL 33155-1758
(305) 576-9999
(786) 615-5608
Mailing address
6850 CORAL WAY, MIAMI, FL 33155-1758
(305) 576-9999
(786) 615-5608
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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