Healthcare Provider Details

I. General information

NPI: 1528996006
Provider Name (Legal Business Name): PALLCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12805 SW 105TH TER
MIAMI FL
33186-3502
US

IV. Provider business mailing address

12805 SW 105TH TER
MIAMI FL
33186-3502
US

V. Phone/Fax

Practice location:
  • Phone: 305-562-0274
  • Fax: 786-743-5294
Mailing address:
  • Phone: 305-562-0274
  • Fax: 786-743-5294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO LOPEZ BERMUDEZ
Title or Position: OWNER
Credential: MD
Phone: 305-562-0274