Provider Demographics
NPI:1851589790
Name:UNIVERSAL COMMUNITY HEALTH CENTER, CORP
Entity Type:Organization
Organization Name:UNIVERSAL COMMUNITY HEALTH CENTER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-262-5851
Mailing Address - Street 1:8100 W FLAGLER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2155
Mailing Address - Country:US
Mailing Address - Phone:305-262-5851
Mailing Address - Fax:305-262-5852
Practice Address - Street 1:8100 W FLAGLER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2155
Practice Address - Country:US
Practice Address - Phone:305-262-5851
Practice Address - Fax:305-262-5852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL636294-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty