Organization
C A MEDICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS DIAZ LMT (OWNER)
(786) 955-5546
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 248, HIALEAH, FL 33012-4648
(786) 955-5546
(305) 823-8821
Mailing address
3750 W 16TH AVE STE 248, HIALEAH, FL 33012-4648
(786) 955-5546
(305) 823-8821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/28/2010
Last updated
06/04/2014
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