MEDICARE: DEE-CAR INC.

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	3336C0003X	Community/Retail Pharmacy	PH3051	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417068651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEE-CAR INC.

Provider Business Mailing Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	SUITE 101
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-583-4100
Fax Number	:	954-583-6767

Provider Business Practice Location Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	SUITE 101
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-583-4100
Fax Number	:	954-583-6767

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISREAL LIEBERMAN
Credential	:
Telephone Number	:	954-583-4100

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/06/2022

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Directions to “DEE-CAR INC. ” Practice Location

Language	Start Address	Practice Location

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