Healthcare Provider Details

I. General information

NPI: 1841755352
Provider Name (Legal Business Name): CARECHOICE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2019
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SW 12TH AVE STE 203
POMPANO BEACH FL
33069-3237
US

IV. Provider business mailing address

150 SW 12TH AVE STE 203
POMPANO BEACH FL
33069-3237
US

V. Phone/Fax

Practice location:
  • Phone: 954-933-1442
  • Fax: 954-933-1509
Mailing address:
  • Phone: 954-933-1442
  • Fax: 954-933-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GEORGE FERGER
Title or Position: OWNER
Credential:
Phone: 954-234-4407