Physician Med-Care Providers Corp

NPI #1114195427 in Miami Lakes, Florida

Provider Information

NPI Number: 1114195427
Entity Type: Organization
Organization Name: Physician Med-Care Providers Corp
Primary Specialty: General Practice
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 6175 NW 153RD ST
Address 2: #301
City: Miami Lakes
State: Florida
ZIP Code: 33014-2435
Phone: (305) 558-9522

Authorized Official

Name: GARY ROBERTSON, MD
Title: PRESIDENT
Phone: (305) 558-9522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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