Organization
AGING CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMARA RODRIGUEZ (PRESIDENT)
(305) 389-4214
Entity
Organization
Contact information
Practice address
15291 NW 60TH AVE, 104, MIAMI LAKES, FL 33014-2458
(305) 698-8628
(305) 698-8629
Mailing address
15291 NW 60TH AVE, 104, MIAMI LAKES, FL 33014-2458
(305) 698-8628
(305) 698-8629
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1212604260
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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