MEDICARE: H&C MEDICAL CENTER 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
1	111NI0013X	Independent Medical Examiner Chiropractor	ME 28850	FL

General Provider Information

NPI Number	:	1184862930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&C MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	932 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4240
Country	:	US
Telephone Number	:	305-262-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	932 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4240
Country	:	US
Telephone Number	:	305-262-0131
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENRRY URDANIVIA
Credential	:
Telephone Number	:	305-262-0131

Provider Enumeration Date	:	02/02/2009
Last Update Date	:	02/02/2009

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Directions to “H&C MEDICAL CENTER INC ” Practice Location

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