Provider Demographics
NPI:1467473553
Name:ATLANTIC CLINIC CENTER, INC
Entity Type:Organization
Organization Name:ATLANTIC CLINIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILOTO CINTRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-281-9250
Mailing Address - Street 1:1800 W 68TH ST
Mailing Address - Street 2:SUITE 117
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4404
Mailing Address - Country:US
Mailing Address - Phone:305-556-9550
Mailing Address - Fax:305-556-9551
Practice Address - Street 1:1800 W 68TH ST
Practice Address - Street 2:SUITE 117
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4404
Practice Address - Country:US
Practice Address - Phone:305-556-9550
Practice Address - Fax:305-556-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5154261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation