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Organization

K & C ACCID MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRISTIAN VALDES (PRESIDENT OWNER)
(305) 871-2343
Entity
Organization

Contact information

Practice address
6595 NW 36TH ST, SUITE 319, VIRGINIA GARDENS, FL 33166-6979
(305) 871-2343
(305) 529-1847
Mailing address
6595 NW 36TH ST, SUITE 319, VIRGINIA GARDENS, FL 33166-6979
(305) 871-2343
(305) 529-1847

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HCC7509
AHCA LICENSE
FL
Enumeration date
03/07/2007
Last updated
06/25/2008
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