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NPI Code Detail

MEDICARE: IPOD CARE LLC

MEDICARE: IPOD CARE 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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1215404843
Entity Type Code : Organization
Provider Name (Legal Business Name) : IPOD CARE LLC
Provider Business Mailing Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number : 305-925-8100
Provider Business Practice Location Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number : 305-925-8100
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICE
Name : MR. DIEGO EVELIO CORDOVA
Credential : CERTIFIED PUBLIC ACC
Telephone Number : 305-458-5513
Provider Enumeration Date : 11/01/2018
Last Update Date : 12/19/2018

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Directions to “IPOD CARE LLC ” Practice Location

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