MEDICARE: NP CARE ASSOCIATES 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	305S00000X	Point of Service	ARNP3080092	FL

General Provider Information

NPI Number	:	1578982898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NP CARE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1007 N FEDERAL HWY
Second Line	:	STE 175
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1422
Country	:	US
Telephone Number	:	954-655-6373
Fax Number	:	954-563-1550

Provider Business Practice Location Address
First Line	:	1007 N FEDERAL HWY
Second Line	:	STE 175
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-1422
Country	:	US
Telephone Number	:	954-655-6373
Fax Number	:	954-563-1550

Authorized Official
Title or Position	:	MANAGER
Name	:	TABATHA QUETGLES
Credential	:	ARNP
Telephone Number	:	954-655-6373

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	04/15/2014

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