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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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