Healthcare Provider Details

I. General information

NPI: 1629896626
Provider Name (Legal Business Name): KARE ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 S CONGRESS AVE STE 103
DELRAY BEACH FL
33445-6326
US

IV. Provider business mailing address

1615 S CONGRESS AVE STE 103
DELRAY BEACH FL
33445-6326
US

V. Phone/Fax

Practice location:
  • Phone: 561-629-7267
  • Fax: 561-629-7954
Mailing address:
  • Phone: 561-629-7267
  • Fax: 561-629-7954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MOISE WISEMAN ANGLADE
Title or Position: PRESIDENT
Credential: MD
Phone: 561-629-7267