MEDICARE: OUTSTANDING CARE PA

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598593451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUTSTANDING CARE PA

Provider Business Mailing Address
First Line	:	1321 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1837
Country	:	US
Telephone Number	:	954-533-1173
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 S ANDREWS AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1838
Country	:	US
Telephone Number	:	954-533-1173
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HECTOR DICARLO
Credential	:	MD
Telephone Number	:	954-533-1173

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	07/23/2024

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Directions to “OUTSTANDING CARE PA ” Practice Location

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