Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-12-07
- Last updated
- 2020-08-22
Specialties
Licenses
- License FL
- HCC6909
Location
- Practice location
- 876 W SUGARLAND HWY, UNIT 1 C
- City
- CLEWISTON FL
- Postal code
- 334402704
- Phone
- 863-902-1200
Organization contact
- Name
- CATALINA CARRERAS
- Title
- ADMINISTRATOR
- Phone
- 8639021200
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.