| Amalia's Community Clinic, Corp | |
|
5400 S University Dr Ste 217 Davie FL 33328-5310 | |
| (954) 900-2931 | |
| Not Available |
| Full Name | Amalia's Community Clinic, Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5400 S University Dr Ste 217, Davie, Florida |
| Authorized Official Name and Position | Lidice Gisel Carrillo Cabrera (ADMINISTRATOR) |
| Authorized Official Contact | 9549002931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amalia's Community Clinic, Corp 9440 Nw 35th Ct Miami FL 33147-2730 Ph: (786) 230-5396 | Amalia's Community Clinic, Corp 5400 S University Dr Ste 217 Davie FL 33328-5310 Ph: (954) 900-2931 |
| NPI Number | 1881349660 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 02/19/2022 |
| Certification Date | 02/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881349660 | NPI | - | NPPES |
| 107149700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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