Healthcare Provider Details

I. General information

NPI: 1679084164
Provider Name (Legal Business Name): H&H CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 MENDHAM BLVD STE 104
ORLANDO FL
32825-3245
US

IV. Provider business mailing address

7802 KINGSPOINTE PKWY STE 208A
ORLANDO FL
32819-8579
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-2577
  • Fax:
Mailing address:
  • Phone: 407-900-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JUAN CARLOS CANTU
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 407-900-9284