Provider Profile
ECC MEDICAL GROUP
Health Care Clinic
FACILITY PROFILE
Street Address
- 8335 NW 12TH ST
DORAL, FL 33126
County: Miami-Dade - Phone: (786) 464-1444
Mailing Address
- 8335 NW 12TH ST
DORAL, FL 33126
County: Miami-Dade - Phone: (786) 464-1444
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | ADRIANA AMELINCKX | ||||||
| Administrator: | MAGALY POLIER | ||||||
| Owner/Licensee: | IAB MANAGEMENT LLC | ||||||
| Owner/Licensee Since: | 3/2/2021 | ||||||
| |||||||
| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 13653 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 12839 | ||||||
| Current License Effective: | 6/21/2023 | ||||||
| Current License Expires: | 6/20/2025 | ||||||
| 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.