| C&c Mental And Family Services Corporation | |
|
12150 Sw 128th Ct Ste 228 Miami FL 33186-4674 | |
| (786) 227-6314 | |
| Not Available |
| Full Name | C&c Mental And Family Services Corporation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12150 Sw 128th Ct Ste 228, Miami, Florida |
| Authorized Official Name and Position | Norma Llerena (PRESIDENT) |
| Authorized Official Contact | 7867127151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&c Mental And Family Services Corporation 3148 Sw 143rd Pl Miami FL 33175-7435 Ph: (786) 712-7151 | C&c Mental And Family Services Corporation 12150 Sw 128th Ct Ste 228 Miami FL 33186-4674 Ph: (786) 227-6314 |
| NPI Number | 1003436445 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 5799179917 |
|---|---|
| Medicare Enrollment ID | O20220303000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rogelio O Bardinas Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043458326 PECOS PAC ID: 9638351745 Enrollment ID: I20110310000858 |
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