Organization
CLINICAL CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DIAZ (PRESIDENT)
(786) 631-4336
Entity
Organization
Contact information
Practice address
3091 CORAL WAY, MIAMI, FL 33145
(305) 649-6077
(305) 649-6071
Mailing address
2121 SW 3RD AVE, SUITE 500, MIAMI, FL 33129
(786) 631-4336
(305) 631-2806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010301300
—
FL
Enumeration date
08/16/2006
Last updated
12/02/2019
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