Healthcare Provider Details
I. General information
NPI: 1740551498
Provider Name (Legal Business Name): US MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2012
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3196 N FEDERAL HWY
BOCA RATON FL
33431-6700
US
IV. Provider business mailing address
3196 N FEDERAL HWY
BOCA RATON FL
33431-6700
US
V. Phone/Fax
- Phone: 561-418-2505
- Fax: 855-948-4128
- Phone: 561-418-2505
- Fax: 561-338-4944
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | ME83741 |
| License Number State | FL |
VIII. Authorized Official
Name:
GEORGE
THOMAS
Title or Position: PRESIDENT & CEO
Credential: DHA, FACHE
Phone: 561-418-2505