Organization
COMMUNITY CLINICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR HERNANDEZ JR. (PRESIDENT)
(305) 362-4382
Entity
Organization
Contact information
Practice address
1490 W 49TH PL STE 398, HIALEAH, FL 33012-3186
(305) 362-4382
(305) 362-4383
Mailing address
1490 W 49TH PL STE 398, HIALEAH, FL 33012-3186
(305) 362-4382
(305) 362-4383
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
01/22/2013
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