MEDICARE: PROSPERCARE LLC

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	:	1437471760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSPERCARE LLC

Provider Business Mailing Address
First Line	:	2911 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2009
Country	:	US
Telephone Number	:	305-400-1174
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2009
Country	:	US
Telephone Number	:	305-400-1174
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID CESPEDES
Credential	:
Telephone Number	:	305-400-1174

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	03/01/2010

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Directions to “PROSPERCARE LLC ” Practice Location

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