Provider Demographics
NPI:1215985577
Name:CENTURY CLINICAL SERVICES INC
Entity type:Organization
Organization Name:CENTURY CLINICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:SABOGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-219-8593
Mailing Address - Street 1:10481 N KENDALL DR
Mailing Address - Street 2:SUITE D200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-219-8593
Mailing Address - Fax:
Practice Address - Street 1:10481 N KENDALL DR
Practice Address - Street 2:SUITE D200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-219-8593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty