Provider Demographics
NPI:1245464965
Name:SFMCA, LLC
Entity type:Organization
Organization Name:SFMCA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-282-7816
Mailing Address - Street 1:5880 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3135
Mailing Address - Country:US
Mailing Address - Phone:786-282-7816
Mailing Address - Fax:305-663-6037
Practice Address - Street 1:5880 SW 27TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3135
Practice Address - Country:US
Practice Address - Phone:786-282-7816
Practice Address - Fax:305-663-6037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty