Organization
CLINICA MEDICA CAMAGUEY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YANKIER HERNANDEZ GONZALEZ PA-CN (OWNER)
(602) 748-0586
Entity
Organization
Contact information
Practice address
1260 NE 8TH ST STE 109, CAPE CORAL, FL 33909-3169
(602) 748-0586
Mailing address
406 SE 6TH TER, CAPE CORAL, FL 33990-1566
(602) 748-0586
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841214996
ASSOCIATED PHYSICIAN NPI
FL
Enumeration date
04/24/2025
Last updated
04/24/2025
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