Organization
CLINICAL CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO DIAZ (PRESIDENT)
(786) 631-4336
Entity
Organization
Contact information
Practice address
4980 W. 10TH AVE, HIALEAH, FL 33012-3554
(305) 556-0866
(305) 556-7832
Mailing address
2121 SW 3RD AVE, SUITE 500, MIAMI, FL 33129
(786) 631-4336
(305) 631-2806
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
HCC7301
FL
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
HCC7301
FL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
11/06/2019
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