Organization
MIAMI LAKES CENTER FOR CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUVARY ACEVEDO (PRESIDENT OWNER)
(305) 820-5508
Entity
Organization
Contact information
Practice address
13903 NW 67TH AVE, SUITE 410, MIAMI LAKES, FL 33014-2900
(305) 820-5508
(305) 820-5504
Mailing address
13903 NW 67TH AVE, SUITE 410, MIAMI LAKES, FL 33014-2900
(305) 820-5508
(305) 820-5504
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FILE 8217
AHCA HCC UNIT
FL
Enumeration date
05/27/2010
Last updated
05/27/2010
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