Healthcare Provider Details
I. General information
NPI: 1780588350
Provider Name (Legal Business Name): CARE RESOURCE COMMUNITY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2928 N STATE ROAD 7 STE A
LAUDERDALE LAKES FL
33313-1912
US
IV. Provider business mailing address
3510 BISCAYNE BLVD
MIAMI FL
33137-3859
US
V. Phone/Fax
- Phone: 786-607-1040
- Fax:
- Phone: 305-576-1234
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
STEVEN
SANTIAGO
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 305-576-1234