Healthcare Provider Details
I. General information
NPI: 1962325688
Provider Name (Legal Business Name): HCR MEDICAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1275 W 47TH PL STE 338
HIALEAH FL
33012-3450
US
IV. Provider business mailing address
1275 W 47TH PL STE 338
HIALEAH FL
33012-3450
US
V. Phone/Fax
- Phone: 645-232-3863
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
ATUMONYE
Title or Position: PRESIDENT
Credential: MD
Phone: 645-232-3863