Provider Demographics
NPI:1154914661
Name:MY FLORIDA CASE MANAGEMENT SERVICES, L.L.C
Entity type:Organization
Organization Name:MY FLORIDA CASE MANAGEMENT SERVICES, L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-314-4504
Mailing Address - Street 1:9590 NW 25TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1402
Mailing Address - Country:US
Mailing Address - Phone:786-238-7282
Mailing Address - Fax:305-262-3420
Practice Address - Street 1:9590 NW 25TH ST FL 2
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1402
Practice Address - Country:US
Practice Address - Phone:786-238-7282
Practice Address - Fax:305-262-3420
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MY FLORIDA CASE MANAGEMENT SERVICES, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-16
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty