Provider Demographics
NPI:1912194911
Name:CONTINUCARE CLINICS, INC.
Entity Type:Organization
Organization Name:CONTINUCARE CLINICS, INC.
Other - Org Name:VALUCLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:PFENNIGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-500-2100
Mailing Address - Street 1:7200 CORPORATE CENTER DR
Mailing Address - Street 2:#600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1200
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:305-500-2080
Practice Address - Street 1:7200 CORPORATE CENTER DR
Practice Address - Street 2:#600
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1200
Practice Address - Country:US
Practice Address - Phone:305-500-2000
Practice Address - Fax:305-500-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty