Healthcare Provider Details

I. General information

NPI: 1609850544
Provider Name (Legal Business Name): CARO FAMILY PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 MONTAGUE AVE
CARO MI
48723-1918
US

IV. Provider business mailing address

206 MONTAGUE AVE
CARO MI
48723-1918
US

V. Phone/Fax

Practice location:
  • Phone: 989-673-2102
  • Fax: 989-673-1591
Mailing address:
  • Phone: 989-673-2102
  • Fax: 989-673-1591

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: MR. AFONSO FERREIRA
Title or Position: PRESIDENT
Credential: MD
Phone: 989-673-2102