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Organization

FELCAS HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS MARTIN (PRESIDENT)
(305) 598-6224
Entity
Organization

Contact information

Practice address
10661 N KENDALL DR, 112, MIAMI, FL 33176-8709
(305) 598-6224
(305) 598-6339
Mailing address
10661 N KENDALL DR, 112, MIAMI, FL 33176-8709
(305) 598-6224
(305) 598-6339

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME106122
FL
207Q00000X
Family Medicine Physician
Primary
ME81313
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2683
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003E
BCBSFL
FL
05
001426800
FL
01
1024561
JMH
FL
01
3052273
UNITED HEALTHCARE
FL
01
4752389
CIGNA
FL
Enumeration date
03/20/2009
Last updated
05/29/2012
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