Healthcare Provider Details

I. General information

NPI: 1184862930
Provider Name (Legal Business Name): H&C MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 SW 82ND AVE
MIAMI FL
33144-4240
US

IV. Provider business mailing address

932 SW 82ND AVE
MIAMI FL
33144-4240
US

V. Phone/Fax

Practice location:
  • Phone: 305-262-0131
  • Fax:
Mailing address:
  • Phone: 305-262-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberME 28850
License Number StateFL

VIII. Authorized Official

Name: JENRRY URDANIVIA
Title or Position: OWNER
Credential:
Phone: 305-262-0131