Organization
COMPLETE CARE MANAGEMENT SERVICES ACO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO ARMANDO ESPINO JR. (FOUNDER-COB)
(786) 395-1165
Entity
Organization
Contact information
Practice address
6625 MIAMI LAKES DR STE 247, MIAMI LAKES, FL 33014-2768
(786) 292-4797
(866) 317-9048
Mailing address
6625 MIAMI LAKES DR STE 247, MIAMI LAKES, FL 33014-2768
(786) 292-4797
(866) 317-9048
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
03/22/2023
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