Provider Demographics
NPI:1427299650
Name:CENTER FOR FAMILY MEDICINE CORP
Entity type:Organization
Organization Name:CENTER FOR FAMILY MEDICINE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LORITES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-460-0045
Mailing Address - Street 1:10210 NICARAGUA DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2341
Mailing Address - Country:US
Mailing Address - Phone:305-460-0045
Mailing Address - Fax:305-460-0075
Practice Address - Street 1:8300 W FLAGLER ST
Practice Address - Street 2:SUITE 112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-6000
Practice Address - Country:US
Practice Address - Phone:305-460-0045
Practice Address - Fax:305-460-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95227261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care