| California Club Medical Center Llc | |
|
850 Ives Dairy Road Unit 14 North Miami Beach FL 33179 | |
| (305) 405-0365 | |
| (305) 405-0370 |
| Full Name | California Club Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 850 Ives Dairy Road, North Miami Beach, Florida |
| Authorized Official Name and Position | Mark Grnja (CFO) |
| Authorized Official Contact | 9549293400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Club Medical Center Llc 850 Ives Dairy Road Unit 14 North Miami Beach FL 33179 Ph: (305) 405-0365 | California Club Medical Center Llc 850 Ives Dairy Road Unit 14 North Miami Beach FL 33179 Ph: (305) 405-0365 |
| NPI Number | 1538106919 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538106919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Secondary |
| 207Q00000X | Family Medicine | HCC6244 (Florida) | Primary |
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