Healthcare Provider Details

I. General information

NPI: 1477337194
Provider Name (Legal Business Name): PCP HEALTHCARE MANAGEMENT, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E ATLANTIC BLVD STE B
POMPANO BEACH FL
33060-6768
US

IV. Provider business mailing address

9497 EXBURY CT
PARKLAND FL
33076-4401
US

V. Phone/Fax

Practice location:
  • Phone: 954-366-5131
  • Fax:
Mailing address:
  • Phone: 787-504-2466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MIGUEL ARCANGEL APONTE
Title or Position: OWNER
Credential: MD
Phone: 787-504-2466