Provider Demographics
NPI:1689688913
Name:CARE CENTER LLC
Entity Type:Organization
Organization Name:CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:NAPOLES
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL ASSISTANT
Authorized Official - Phone:305-642-9393
Mailing Address - Street 1:434 SW 12TH AVE
Mailing Address - Street 2:#103
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2440
Mailing Address - Country:US
Mailing Address - Phone:305-642-9393
Mailing Address - Fax:305-642-9996
Practice Address - Street 1:434 SW 12TH AVE
Practice Address - Street 2:#103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2440
Practice Address - Country:US
Practice Address - Phone:305-642-9393
Practice Address - Fax:305-642-9996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4062261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0043064OtherGREGOIRE EUGENE, M.D.
FLE12078Medicare UPIN
FLME0043064OtherGREGOIRE EUGENE, M.D.