Organization · NPI-2

Caremax Medical Centers Of Central Florida, LLC

Clinic/Center · Daytona Beach, FL

NPI number1760199855

StatusActive

Last updated in NPPESAug 13, 2024

Details

NPI: 1760199855
Entity type: Organization (NPI-2)
Legal business name: Caremax Medical Centers Of Central Florida, LLC
Organization subpart: Yes
Enumeration date: Oct 31, 2022
Certification date: Aug 13, 2024
Last updated: Aug 13, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261Q00000X	Clinic/Center	–	–	Yes

Practice location

2595 W International Speedway Blvd
Daytona Beach, FL 32114-1118

Phone 386-271-0053 · Fax 386-271-0054

Mailing address

1000 Nw 57th Ct Ste 400
Miami, FL 33126-3292

Phone 305-649-8100

Authorized official

Carlos De Solo
Chief Executive Officer
3056498100

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