Healthcare Provider Details

I. General information

NPI: 1467522755
Provider Name (Legal Business Name): CARE MEDICAL CENTER GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 PALM AVE SUITE C
HIALEAH FL
33012-4424
US

IV. Provider business mailing address

13117 NW 107TH AVE STE E1
HIALEAH GARDENS FL
33018-1165
US

V. Phone/Fax

Practice location:
  • Phone: 305-823-0210
  • Fax:
Mailing address:
  • Phone: 786-409-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ENRIQUE ZAMORA
Title or Position: CEO/CFO
Credential:
Phone: 305-796-3544