Organization
COMMUNITY MEDICAL CARE CENTER
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO GONZALEZ (MD)
(239) 657-5800
Entity
Organization
Contact information
Practice address
214 S 1ST ST, IMMOKALEE, FL 34142-3904
(239) 657-5800
(239) 657-9600
Mailing address
214 S 1ST ST, IMMOKALEE, FL 34142-3904
(239) 657-5800
(239) 657-9600
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
ACN248
FL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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