C And C Healthcare Llc | |
101 E Florida Ave Melbourne FL 32901-8301 | |
(321) 984-4600 | |
Not Available |
Full Name | C And C Healthcare Llc |
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Speciality | General Practice |
Location | 101 E Florida Ave, Melbourne, Florida |
Authorized Official Name and Position | Maria Dejesus (OFFICE MANAGER) |
Authorized Official Contact | 3216151417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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C And C Healthcare Llc Po Box 410654 Melbourne FL 32941-0654 Ph: (321) 615-1417 | C And C Healthcare Llc 101 E Florida Ave Melbourne FL 32901-8301 Ph: (321) 984-4600 |
NPI Number | 1568851632 |
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Provider Enumeration Date | 01/13/2015 |
Last Update Date | 05/31/2024 |
Medicare PECOS PAC ID | 4587981758 |
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Medicare Enrollment ID | O20150327000385 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568851632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Linette Cintron-medina |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033456959 PECOS PAC ID: 2961729140 Enrollment ID: I20150327000812 |
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