Healthcare Provider Details

I. General information

NPI: 1518371236
Provider Name (Legal Business Name): MED-CARE RESEARCH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 NE 163RD ST
NORTH MIAMI BEACH FL
33162-4805
US

IV. Provider business mailing address

1865 N.E 163RD ST.
NORTH MIAMI BEACH FL
33162
US

V. Phone/Fax

Practice location:
  • Phone: 305-587-6352
  • Fax: 305-503-9205
Mailing address:
  • Phone: 305-587-6352
  • Fax: 305-503-9205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JACQUELINE GORRA
Title or Position: OWNER/SITE DIRECTOR
Credential:
Phone: 305-587-6352