MEDICARE: TREASURE CARE MEDICAL CENTER

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	261Q00000X	Clinic/Center		FL

General Provider Information

NPI Number	:	1770519258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREASURE CARE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	8100 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4211
Country	:	US
Telephone Number	:	305-261-1930
Fax Number	:	305-264-9343

Provider Business Practice Location Address
First Line	:	8100 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4211
Country	:	US
Telephone Number	:	305-261-1930
Fax Number	:	305-264-9343

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LILIANA DIAZ
Credential	:
Telephone Number	:	305-261-1930

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	08/22/2020

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