| C & C Healthcare Llc | |
|
101 E Florida Ave Melbourne FL 32901-8301 | |
| (321) 984-4600 | |
| Not Available |
| Full Name | C & C Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 101 E Florida Ave, Melbourne, Florida |
| Authorized Official Name and Position | Maria Dejesus (OFFICE MANAGER) |
| Authorized Official Contact | 3216151417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C & C Healthcare Llc Po Box 410654 Melbourne FL 32941-0654 Ph: (321) 615-1417 | C & C Healthcare Llc 101 E Florida Ave Melbourne FL 32901-8301 Ph: (321) 984-4600 |
| NPI Number | 1568851632 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 4587981758 |
|---|---|
| Medicare Enrollment ID | O20150327000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568851632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Linette Cintron-medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033456959 PECOS PAC ID: 2961729140 Enrollment ID: I20150327000812 |
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