Provider Demographics
NPI:1659335677
Name:C & C COMPLETE MEDICAL CARE GROUP PA
Entity Type:Organization
Organization Name:C & C COMPLETE MEDICAL CARE GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORNELL
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:CALINESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-456-9696
Mailing Address - Street 1:1731 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4680
Mailing Address - Country:US
Mailing Address - Phone:954-456-9696
Mailing Address - Fax:954-456-9626
Practice Address - Street 1:1731 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4680
Practice Address - Country:US
Practice Address - Phone:954-456-9696
Practice Address - Fax:954-456-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty