Healthcare Provider Details

I. General information

NPI: 1811177421
Provider Name (Legal Business Name): CONTINUCARE MSO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CORPORATE CENTER DR SUITE 600
MIAMI FL
33126-1200
US

IV. Provider business mailing address

7200 CORPORATE CENTER DR SUITE 600
MIAMI FL
33126-1200
US

V. Phone/Fax

Practice location:
  • Phone: 305-500-2009
  • Fax: 305-500-2145
Mailing address:
  • Phone: 305-500-2009
  • Fax: 305-500-2145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. GEMMA ROSELLO
Title or Position: VICE PRESIDENT
Credential:
Phone: 305-500-2000