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NPI Code Detail

MEDICARE: CONTINUCARE MEDICAL MANAGEMENT, INC.

MEDICARE: CONTINUCARE MEDICAL MANAGEMENT, 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
1332900000XNon-Pharmacy Dispensing SiteFL
2261QM1300XMulti-Specialty Clinic/CenterHCC 5237FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497774400
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTINUCARE MEDICAL MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR
Second Line : SUITE 400
City : MIAMI
State : FL
Zip : 33126-2055
Country : US
Telephone Number : 305-500-2114
Fax Number : 305-370-6024
Provider Business Practice Location Address
First Line : 11000 SW 211 ST
Second Line :
City : MIAMI
State : FL
Zip : 33189-2804
Country : US
Telephone Number : 305-245-0200
Fax Number : 305-245-1518
Authorized Official
Title or Position : VICE PRESIDENT
Name : GEMMA ROSELLO
Credential :
Telephone Number : 305-500-2000
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/10/2016

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Directions to “CONTINUCARE MEDICAL MANAGEMENT, INC. ” Practice Location

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