MEDICARE: ATLANTIC MED-CARE, P.A.

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1750870465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC MED-CARE, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 1088
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33429-1088
Country	:	US
Telephone Number	:	561-302-6820
Fax Number	:

Provider Business Practice Location Address
First Line	:	5412 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5209
Country	:	US
Telephone Number	:	561-302-6820
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID K POCES
Credential	:	DC
Telephone Number	:	561-302-6820

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	05/08/2018

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