Provider Demographics
NPI:1689747727
Name:FLORIDA HEALTHCARE CORP
Entity Type:Organization
Organization Name:FLORIDA HEALTHCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIRANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-883-1060
Mailing Address - Street 1:PO BOX 144176
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4176
Mailing Address - Country:US
Mailing Address - Phone:305-883-1060
Mailing Address - Fax:305-883-8624
Practice Address - Street 1:700 E 1ST AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4406
Practice Address - Country:US
Practice Address - Phone:305-883-1060
Practice Address - Fax:305-883-8624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 5049261QM1300X
DCHCC 5050261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Not Answered261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39869Medicare ID - Type Unspecified
FL39845Medicare ID - Type Unspecified