Organization
MILLENNIUM COMMUNITY CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALINDA S MARTINEZ (PRESIDENT)
(305) 242-5220
Entity
Organization
Contact information
Practice address
124 E 1 RD, SUITE A, MIAMI, FL 33030
(305) 242-5220
(305) 242-5207
Mailing address
124 E 1 RD, SUITE A, MIAMI, FL 33030
(305) 242-5220
(305) 242-5207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC7082
FL
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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