Organization
FIRST CARE CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANCA N GONZALEZ MD (CEO)
(305) 484-8969
Entity
Organization
Contact information
Practice address
9272 SW 40TH ST, MIAMI, FL 33165-4151
(305) 484-8969
(305) 260-9678
Mailing address
9272 SW 40TH ST, MIAMI, FL 33165-4151
(305) 484-8969
(305) 260-9678
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
261Q00000X
Clinic/Center
ME106369
FL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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