Organization
ALCA HEALTH DIAGNOSTIC CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO CAULA (PRESIDENT)
(786) 464-0302
Entity
Organization
Contact information
Practice address
2001 NW 7TH ST, SUITE 202, MIAMI, FL 33125-3479
(786) 464-0302
(786) 464-0607
Mailing address
2001 NW 7TH ST, SUITE 202, MIAMI, FL 33125-3479
(786) 464-0302
(786) 464-0607
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8818
STATE LICENSE AHCA
FL
Enumeration date
05/21/2010
Last updated
04/19/2011
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