Healthcare Provider Details

I. General information

NPI: 1104407253
Provider Name (Legal Business Name): NOWCARE MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 SW 104TH ST
MIAMI FL
33186-2905
US

IV. Provider business mailing address

14601 SW 104TH ST
MIAMI FL
33186-2905
US

V. Phone/Fax

Practice location:
  • Phone: 786-275-4322
  • Fax: 786-536-4132
Mailing address:
  • Phone: 786-275-4322
  • Fax: 786-536-4132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTIAN D ROMERO
Title or Position: OWNER
Credential:
Phone: 786-275-4322