Organization
FLORIDA CARE CENTER WINTER GARDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS J. GONZALEZ (PRESIDENT)
(305) 888-2210
Entity
Organization
Contact information
Practice address
319 S DILLARD ST, WINTER GARDEN, FL 34787-3524
(404) 574-6969
(407) 574-7076
Mailing address
PO BOX 144176, CORAL GABLES, FL 33114-4176
(305) 888-2210
(305) 443-6061
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ACN411
FL
Other
Enumeration date
10/21/2011
Last updated
11/10/2011
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