Provider Demographics
NPI:1568289684
Name:C & C ADVANCED PRACTICE HEALTH SERVICES CORP
Entity type:Organization
Organization Name:C & C ADVANCED PRACTICE HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-897-9814
Mailing Address - Street 1:16431 SW 141ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2061
Mailing Address - Country:US
Mailing Address - Phone:786-897-9814
Mailing Address - Fax:
Practice Address - Street 1:16431 SW 141ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2061
Practice Address - Country:US
Practice Address - Phone:786-897-9814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty