Organization
CONTINUCARE MDHC LLC
Active
Other names
Continucare Medical Center, Conviva Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEMMA ROSELLO (VICE PRESIDENT)
(305) 500-2000
Entity
Organization
Contact information
Practice address
3233 PALM AVE, HIALEAH, FL 33012-5427
(305) 826-0660
(305) 825-0245
Mailing address
6101 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2055
(305) 500-2114
(305) 370-6024
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HCC 5543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000563000
—
FL
Enumeration date
07/20/2006
Last updated
01/22/2020
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