| Continucare Medical Management Inc | |
|
3100 Stirling Rd Suite A Hollywood FL 33021-2040 | |
| (954) 962-9811 | |
| (954) 963-6317 |
| Full Name | Continucare Medical Management Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3100 Stirling Rd, Hollywood, Florida |
| Authorized Official Name and Position | Gemma Gemma (VICE PRESIDENT) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Continucare Medical Management Inc 6101 Blue Lagoon Dr Suite 400 Miami FL 33126-2055 Ph: (305) 500-2114 | Continucare Medical Management Inc 3100 Stirling Rd Suite A Hollywood FL 33021-2040 Ph: (954) 962-9811 |
| NPI Number | 1053695163 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053695163 | NPI | - | NPPES |
| 001887114 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC 9209 (Florida) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (Florida) | Secondary |
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