MEDICARE: MAMMHA CARE LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1306507025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAMMHA CARE LLC

Provider Business Mailing Address
First Line	:	3648 SAINT GAUDENS RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6533
Country	:	US
Telephone Number	:	831-920-7907
Fax Number	:

Provider Business Practice Location Address
First Line	:	3648 SAINT GAUDENS RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6533
Country	:	US
Telephone Number	:	831-920-7907
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. MAUREEN FURA
Credential	:	MPA
Telephone Number	:	831-920-7907

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	02/09/2026

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Directions to “MAMMHA CARE LLC ” Practice Location

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