Advance Mdcare Community Clinic INC
Clinic/Center, Community Health in Miami Springs, FL. Organization (NPI-2).
NPI number1902655814
StatusActive
Last updated in NPPESMay 14, 2024
Details
- NPI
- 1902655814
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Mdcare Community Clinic INC
- Organization subpart
- No
- Enumeration date
- May 14, 2024
- Certification date
- May 14, 2024
- Last updated
- May 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
290 Westward DrMiami Springs, FL 33166-5260
Phone 305-363-2762 · Fax 305-885-8985
Mailing address
290 Westward DrMiami Springs, FL 33166-5260
Phone 305-363-2762 · Fax 305-885-8985
Authorized official
Yanet Rodriguez Ferrera
President
3053632762
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