MEDICARE: KASS MEDICAL CARE 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1245071935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASS MEDICAL CARE CORP

Provider Business Mailing Address
First Line	:	7270 NW 12TH ST STE 335
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1953
Country	:	US
Telephone Number	:	786-378-2569
Fax Number	:

Provider Business Practice Location Address
First Line	:	7270 NW 12TH ST STE 335
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1953
Country	:	US
Telephone Number	:	786-378-2569
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHEL ENRIQUE GARCIA
Credential	:
Telephone Number	:	786-378-2569

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

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Directions to “KASS MEDICAL CARE CORP ” Practice Location

Language	Start Address	Practice Location

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