| Jc Medical Clinic Corp | |
|
4010 Nw 34th St Lauderdale Lakes FL 33319-5721 | |
| (954) 717-4200 | |
| (954) 717-4459 |
| Full Name | Jc Medical Clinic Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 4010 Nw 34th St, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Fabio D Lovera (PRESIDENT) |
| Authorized Official Contact | 9547174200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Medical Clinic Corp 4010 Nw 34th St Lauderdale Lakes FL 33319-5721 Ph: (954) 717-4200 | Jc Medical Clinic Corp 4010 Nw 34th St Lauderdale Lakes FL 33319-5721 Ph: (954) 717-4200 |
| NPI Number | 1225560154 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225560154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC7721 (Florida) | Primary |
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