MEDICARE: CONTINUCARE MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1316289697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUCARE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7200 CORPORATE CENTER DR
Second Line	:	600
City	:	MIAMI
State	:	FL
Zip	:	33126-1200
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	305-500-2080

Provider Business Practice Location Address
First Line	:	3100 STIRLING RD
Second Line	:	A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-2040
Country	:	US
Telephone Number	:	954-962-9811
Fax Number	:	954-963-6317

Authorized Official
Title or Position	:	VP SUPPORT SERVICES
Name	:	HOLLY LOPEZ
Credential	:
Telephone Number	:	305-500-2108

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	01/17/2014

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