Provider Profile
TARGETED CASE MANAGEMENT OF FLORIDA INC
Health Care Clinic
FACILITY PROFILE
Street Address
- 5881 NW 151 STREET SUITE 127
MIAMI LAKES, FL 33014
County: Miami-Dade - Phone: (786) 905-2262
Mailing Address
- 5881 NW 151 STREET SUITE 127
MIAMI LAKES, FL 33014
County: Miami-Dade - Phone: (786) 905-2262
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | PIERRE ETIENNE PEAN | ||||||
| Administrator: | NOEL FIALLO | ||||||
| Owner/Licensee: | TARGETED CASE MANAGMENT OF FLORIDA INC | ||||||
| Owner/Licensee Since: | 10/28/2019 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 12886 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 12186 | ||||||
| Current License Effective: | 6/11/2024 | ||||||
| Current License Expires: | 6/10/2026 | ||||||
| License Status: | LICENSED | ||||||
Services/Characteristics
| Type: | Fixed Location |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.