Organization · NPI-2

Active Medical Care Center Corp

Family Medicine · Hialeah, FL

NPI number1194779546
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1194779546
Entity type
Organization (NPI-2)
Legal business name
Active Medical Care Center Corp
Organization subpart
No
Enumeration date
May 20, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2800 W 84th St
Bay 11
Hialeah, FL 33018-4922

Phone 305-362-4994

Mailing address

2800 W 84th St
Bay 11
Hialeah, FL 33018-4922

Phone 305-362-4994

Authorized official

Euclides Martinez
President
3053624994

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