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NPI Code Detail

MEDICARE: CARE RESOURCE COMMUNITY HEALTH CENTERS, INC

MEDICARE: CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyFL
2261QF0400XFederally Qualified Health Center (FQHC)FL

General Provider Information

NPI Number : 1053311373
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
Provider Business Mailing Address
First Line : 3510 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-3859
Country : US
Telephone Number : 305-576-1234
Fax Number : 305-571-2020
Provider Business Practice Location Address
First Line : 3510 BISCAYNE BLVD
Second Line :
City : MIAMI
State : FL
Zip : 33137-3840
Country : US
Telephone Number : 305-576-1234
Fax Number : 305-571-2020
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. STEVEN SANTIAGO
Credential : MD
Telephone Number : 305-576-1234
Provider Enumeration Date : 07/28/2005
Last Update Date : 01/24/2025

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Directions to “CARE RESOURCE COMMUNITY HEALTH CENTERS, INC ” Practice Location

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