MEDICARE: CONTINUCARE CLINICS, INC.

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1952521205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINUCARE CLINICS, INC.

Provider Business Mailing Address
First Line	:	7200 NW 19TH ST
Second Line	:	SUITE 600
City	:	MIAMI
State	:	FL
Zip	:	33126-1200
Country	:	US
Telephone Number	:	305-500-2009
Fax Number	:	305-500-2145

Provider Business Practice Location Address
First Line	:	AT SEDANO'S PHARMACY
Second Line	:	6410 N.W. 186 STREET
City	:	MIAMI LAKES
State	:	FL
Zip	:	33015
Country	:	US
Telephone Number	:	305-500-2009
Fax Number	:	305-500-2145

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT OPERATIONS
Name	:	MS. GEMMA ROSELLO
Credential	:	RN
Telephone Number	:	305-500-2000

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	08/22/2020

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