Healthcare Provider Details

I. General information

NPI: 1700824992
Provider Name (Legal Business Name): MEDCARE ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12404 BISCAYNE BLVD SUITE A
NORTH MIAMI FL
33181-2521
US

IV. Provider business mailing address

1850 SW 8TH ST SUITE 302
MIAMI FL
33135-3435
US

V. Phone/Fax

Practice location:
  • Phone: 305-300-9241
  • Fax: 305-541-6565
Mailing address:
  • Phone: 305-300-9241
  • Fax: 305-541-6565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number686610
License Number StateFL

VIII. Authorized Official

Name: BLANCA L VAZQUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-300-9241