Organization
CCA ENTERPRISES & VENTURES, LLC
Active
Organization
CCA ENTERPRISES & VENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR AGANON (MANAGING MEMBER)
(321) 727-7303
Entity
Organization
Contact information
Practice address
919 PINE WALK CT NE, PALM BAY, FL 32905-4450
(321) 727-7303
(321) 725-2406
Mailing address
919 PINE WALK CT NE, PALM BAY, FL 32905-4450
(321) 727-7303
(321) 725-2406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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