Provider Demographics
NPI:1699220749
Name:CARE CENTER NETWORK, INC
Entity Type:Organization
Organization Name:CARE CENTER NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MSO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASCARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-210-1896
Mailing Address - Street 1:1400 N.W. 107TH AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172
Mailing Address - Country:US
Mailing Address - Phone:786-534-4285
Mailing Address - Fax:305-631-2806
Practice Address - Street 1:1400 N.W. 107TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172
Practice Address - Country:US
Practice Address - Phone:786-534-4285
Practice Address - Fax:305-631-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty