Provider Profile
1ST CARE CASE MANAGEMENT SERVICES LLC
Health Care Clinic
FACILITY PROFILE
Street Address
- 1400 NW 107 AVE 310
MIAMI, FL 33172
County: Miami-Dade - Phone: (786) 542-5043
Mailing Address
- 1400 NW 107 AVE 310
MIAMI, FL 33172
County: - Phone: (786) 542-5043
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | ||||||
| Medical or Clinic Director: | JOSIE C RAMOS MORAGUES | ||||||
| Administrator: | ALEXANDER MATA | ||||||
| Owner/Licensee: | 1ST CARE CASE MANAGEMENT SERVICES LLC | ||||||
| Owner/Licensee Since: | 1/31/2024 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 16258 | ||||||
| AHCA Field Office: | 11 | ||||||
| License Number: | 14481 | ||||||
| Current License Effective: | 10/28/2024 | ||||||
| Current License Expires: | 10/27/2026 | ||||||
| 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.