Organization
ADVANCE MDCARE COMMUNITY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET RODRIGUEZ FERRERA (PRESIDENT)
(305) 363-2762
Entity
Organization
Contact information
Practice address
290 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(305) 363-2762
(305) 885-8985
Mailing address
290 WESTWARD DR, MIAMI SPRINGS, FL 33166-5260
(305) 363-2762
(305) 885-8985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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