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NPI Code Detail

MEDICARE: MEDICAL CUBAN AMERICAN INC

MEDICARE: MEDICAL CUBAN AMERICAN 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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1831372614
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL CUBAN AMERICAN INC
Provider Business Mailing Address
First Line : 2335 STANFORD CT
Second Line : SUITE 502
City : NAPLES
State : FL
Zip : 34112-4813
Country : US
Telephone Number : 239-434-8119
Fax Number : 239-434-8019
Provider Business Practice Location Address
First Line : 2335 STANFORD CT
Second Line : SUITE 502
City : NAPLES
State : FL
Zip : 34112-4813
Country : US
Telephone Number : 239-434-8119
Fax Number : 239-434-8019
Authorized Official
Title or Position : PRESIDENT
Name : ERLIS CHERCOLES
Credential :
Telephone Number : 239-434-8119
Provider Enumeration Date : 12/14/2007
Last Update Date : 04/30/2008

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