| Physician Med-care Providers Corp | |
|
6175 Nw 153rd St #301 Miami Lakes FL 33014-2435 | |
| (305) 558-9522 | |
| (305) 558-9520 |
| Full Name | Physician Med-care Providers Corp |
|---|---|
| Speciality | General Practice |
| Location | 6175 Nw 153rd St, Miami Lakes, Florida |
| Authorized Official Name and Position | Gary Robertson (PRESIDENT) |
| Authorized Official Contact | 3055589522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Med-care Providers Corp 6175 Nw 153rd St #301 Miami Lakes FL 33014-2435 Ph: (305) 558-9522 | Physician Med-care Providers Corp 6175 Nw 153rd St #301 Miami Lakes FL 33014-2435 Ph: (305) 558-9522 |
| NPI Number | 1114195427 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114195427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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