MEDICARE: MEDICFP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1174930556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICFP, LLC

Provider Business Mailing Address
First Line	:	1942 HARRISON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5018
Country	:	US
Telephone Number	:	954-356-2690
Fax Number	:

Provider Business Practice Location Address
First Line	:	1942 HARRISON ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-5018
Country	:	US
Telephone Number	:	954-356-2690
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALLAN VOSS
Credential	:
Telephone Number	:	954-356-2690

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	07/17/2014

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