MEDICARE: MANAGED CARE OF NORTH AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225193758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGED CARE OF NORTH AMERICA

Provider Business Mailing Address
First Line	:	3230 W COMMERCIAL BLVD
Second Line	:	SUITE 190
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 W COMMERCIAL BLVD
Second Line	:	SUITE 190
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3429
Country	:	US
Telephone Number	:	954-730-7131
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	GLEN FEINGOLD
Credential	:
Telephone Number	:	954-730-7131

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	02/18/2010

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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Directions to “MANAGED CARE OF NORTH AMERICA ” Practice Location

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