Healthcare Provider Details

I. General information

NPI: 1578900882
Provider Name (Legal Business Name): PHYSICIANS HEALTHCARE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 GATEWAY DR SUITE E1
POMPANO BEACH FL
33069-4327
US

IV. Provider business mailing address

2703 GATEWAY DR SUITE E1
POMPANO BEACH FL
33069-4327
US

V. Phone/Fax

Practice location:
  • Phone: 954-445-7252
  • Fax: 888-511-5924
Mailing address:
  • Phone: 954-445-7252
  • Fax: 888-511-5924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. GARETH D REES
Title or Position: CEO
Credential:
Phone: 954-445-7252