Organization
MIAMI CARE MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR DESCAMPS ARNP (ADMINISTRATOR)
(786) 334-6041
Entity
Organization
Contact information
Practice address
550 SW 27TH AVE STE 1, MIAMI, FL 33135-2972
(786) 334-6041
Mailing address
550 SW 27TH AVE STE 1, MIAMI, FL 33135-2972
(786) 334-6041
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P13000037091
CERTIFICATE OF STATUS
FL
Enumeration date
05/15/2013
Last updated
05/15/2013
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