Provider Demographics
NPI:1063658714
Name:CARE ONE MEDICAL CENTER
Entity Type:Organization
Organization Name:CARE ONE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BLEMUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-688-5456
Mailing Address - Street 1:490 FISHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-3818
Mailing Address - Country:US
Mailing Address - Phone:305-688-5456
Mailing Address - Fax:305-688-1661
Practice Address - Street 1:490 FISHERMAN ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-3818
Practice Address - Country:US
Practice Address - Phone:305-688-5456
Practice Address - Fax:305-688-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45180261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center