OrganizationGreat Professional Center IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address1140 W 50th St Ste 402, Hialeah, FL 33012-3439(305) 828-6528PECOS EnrollmentBased on the most recent information from CMS, provider Great Professional Center Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205179199Provider TypeOrganizationFull NameGreat Professional Center IncSubpartNoEnumeration Date3/29/2013Last Updated3/29/2013Contact InformationPractice LocationPractice Address1140 W 50th St Ste 402, Hialeah, FL 33012-3439Phone(305) 828-6528Fax(305) 828-6529Mailing LocationMailing Address1140 W 50th St Ste 402, Hialeah, FL 33012-3439Phone(305) 828-6528Fax(305) 828-6529Authorized OfficialNameMartinez, Humberto (Massage Therapist)Phone(305) 828-6528Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC10489Florida