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NPI Code Detail

MEDICARE: CARE R US CORP

MEDICARE: CARE R US CORP
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
1261Q00000XClinic/CenterHCC8369FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FILE 8651OTHERFLAHCA HCC UNIT EXEMPT

General Provider Information

NPI Number : 1194038596
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE R US CORP
Provider Business Mailing Address
First Line : 4345 SW 72ND AVE
Second Line : G
City : MIAMI
State : FL
Zip : 33155-4530
Country : US
Telephone Number : 239-896-7832
Fax Number : 305-675-2668
Provider Business Practice Location Address
First Line : 4345 SW 72ND AVE
Second Line : G
City : MIAMI
State : FL
Zip : 33155-4530
Country : US
Telephone Number : 239-896-7832
Fax Number : 305-675-2668
Authorized Official
Title or Position : PRESIDENT
Name : FELIX DIAZ
Credential :
Telephone Number : 239-896-7832
Provider Enumeration Date : 07/15/2010
Last Update Date : 07/15/2010

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Directions to “CARE R US CORP ” Practice Location

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