Organization
COMMUNITY CARE RESOURCES OF FL LLC
Active
Organization
COMMUNITY CARE RESOURCES OF FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FANCISCO URTEAGA (PRESIDENT)
(407) 401-7457
Entity
Organization
Contact information
Practice address
675 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-2555
(407) 401-7457
(407) 598-0885
Mailing address
15800 PINES BLVD STE 332, PEMBROKE PINES, FL 33027-1212
(954) 362-5432
(866) 240-4606
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRANT
STATE OF FLORIDA
FL
Enumeration date
10/28/2019
Last updated
02/22/2020
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