Florida Community Care LLC
Health Maintenance Organization in Miami, FL. Organization (NPI-2).
NPI number1033860010
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1033860010
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Community Care LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jan 5, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
4601 Nw 77th AveMiami, FL 33166-6449
Phone 305-097-3242
Mailing address
4601 Nw 77th AveMiami, FL 33166-6449
Phone 305-097-3242
Authorized official
Nestor Plana
Ceo
3053621292
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