| NPI | 1700912797 |
|---|---|
| Doing Business As | CCC EXTENSION |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER FERNANDEZ SVP/CFO 954-473-7642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-05-25 |