Organization
SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
Active
Parent organization
SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
Other names
CCP MMA-Region G, Community Care Plan
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
Authorized official
MS. LUPE RIVERO (SVP & CHIEF BUSINESS DEV OFFICER)
(954) 622-3237
Entity
Organization
Contact information
Practice address
1643 HARRISON PKWY STE H-200, SUNRISE, FL 33323-3091
(954) 622-3200
Mailing address
1643 HARRISON PKWY STE H-200, SUNRISE, FL 33323-3091
(954) 622-3200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1232282-09
—
FL
Enumeration date
09/20/2024
Last updated
09/20/2024
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