Organization
FLORIDA COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR PLANA (CEO)
(305) 362-1292
Entity
Organization
Contact information
Practice address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
Mailing address
4601 NW 77TH AVE, MIAMI, FL 33166-6449
(305) 262-1292
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000530-05
—
FL
Enumeration date
01/10/2022
Last updated
01/10/2022
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