Community Medical Care Center
Clinic/Center, Adult Day Care in Immokalee, FL. Organization (NPI-2).
NPI number1477858751
StatusActive
Last updated in NPPESJan 18, 2011
Details
- NPI
- 1477858751
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Medical Care Center
- Organization subpart
- No
- Enumeration date
- Jan 18, 2011
- Last updated
- Jan 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | acn248 | FL | Yes |
Other names
- N/A (Doing Business As)
Practice location
214 S 1st StImmokalee, FL 34142-3904
Phone 239-657-5800 · Fax 239-657-9600
Mailing address
214 S 1st StImmokalee, FL 34142-3904
Phone 239-657-5800 · Fax 239-657-9600
Authorized official
Antonio Gonzalez
MD
2396575800
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