Healthcare Provider Details

I. General information

NPI: 1619764305
Provider Name (Legal Business Name): MEDCARE TELEHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SW 18TH CT BLDG 100A
OCALA FL
34471-7857
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303-693
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 630-550-0031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: SIDDIQUA RAZA
Title or Position: P
Credential:
Phone: 630-550-0031