Organization
MEDCARE QUALITY MEDICAL CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINERVA ANAYA (ADMINISTRATOR)
(305) 642-1588
Entity
Organization
Contact information
Practice address
1149 SW 27TH AVE, MIAMI, FL 33135-4758
(305) 642-1588
Mailing address
1149 SW 27TH AVE, MIAMI, FL 33135-4758
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCC10089
—
FL
Enumeration date
07/01/2015
Last updated
07/01/2015
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