MEDICARE: TRUCARE MED, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1427519776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUCARE MED, INC

Provider Business Mailing Address
First Line	:	1620 TAMIAMI TRL STE 211
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-4017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 TAMIAMI TRL STE 211
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33948-4017
Country	:	US
Telephone Number	:	941-400-7889
Fax Number	:

Authorized Official
Title or Position	:	MANAGEMENT
Name	:	ESTEFANIA PEREZ
Credential	:	ARNP
Telephone Number	:	941-400-7889

Provider Enumeration Date	:	03/28/2019
Last Update Date	:	03/28/2019

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