Healthcare Provider Details

I. General information

NPI: 1689747727
Provider Name (Legal Business Name): FLORIDA HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E 1ST AVE
HIALEAH FL
33010-4406
US

IV. Provider business mailing address

PO BOX 144176
CORAL GABLES FL
33114-4176
US

V. Phone/Fax

Practice location:
  • Phone: 305-883-1060
  • Fax: 305-883-8624
Mailing address:
  • Phone: 305-883-1060
  • Fax: 305-883-8624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberHCC 5049
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberHCC 5050
License Number StateDC

VIII. Authorized Official

Name: MR. RAMON QUIRANTES
Title or Position: PRESIDENT
Credential:
Phone: 305-883-1060