Provider Demographics
NPI:1225393754
Name:FAMILY MEDICAL CARE CENTER INC
Entity Type:Organization
Organization Name:FAMILY MEDICAL CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANIELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-949-5499
Mailing Address - Street 1:16451 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3675
Mailing Address - Country:US
Mailing Address - Phone:305-949-5499
Mailing Address - Fax:305-949-5461
Practice Address - Street 1:16451 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3675
Practice Address - Country:US
Practice Address - Phone:305-949-5499
Practice Address - Fax:305-949-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care