Amalia'S Community Clinic, Corp

LBN: Amalia'S Community Clinic, Corp
Amalia'S Community Clinic, Corp is an health care organization with primary practice located at 5400 S University Dr Ste 217 , Davie FL 33328-5310. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Amalia'S Community Clinic, Corp can be contacted via phone (954) 900-2931, or through Carrillo Cabrera, Lidice Gisel via phone (954) 900-2931.

Contact Information

Primary practice address
5400 S University Dr Ste 217 Davie FL 33328-5310
Phone: (954) 900-2931
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrillo Cabrera, Lidice Gisel
Phone: (954) 900-2931

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1881349660
LBN Legal business name Amalia'S Community Clinic, Corp
DBA Doing business as
Authorized official Carrillo Cabrera, Lidice Gisel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2022
Last updated Feb 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881349660 NPPES
Florida MEDICAID 107149700

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