| Pride Care Center Inc | |
|
10875 Overseas Hwy Ste 110 Marathon FL 33050-3454 | |
| (305) 743-8130 | |
| (305) 743-8140 |
| Full Name | Pride Care Center Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 10875 Overseas Hwy Ste 110, Marathon, Florida |
| Authorized Official Name and Position | Aida Cardenas (VICE PRESIDENT) |
| Authorized Official Contact | 3057438130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Care Center Inc 10875 Overseas Hwy Ste 110 Marathon FL 33050-3454 Ph: (305) 743-8130 | Pride Care Center Inc 10875 Overseas Hwy Ste 110 Marathon FL 33050-3454 Ph: (305) 743-8130 |
| NPI Number | 1093967341 |
|---|---|
| Provider Enumeration Date | 10/17/2008 |
| Last Update Date | 11/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093967341 | NPI | - | NPPES |
| 000412600 | Medicaid | FL | |
| 0006D | Other | FL | BCBSFL |
| 8363 | Other | FL | HCC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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