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NPI Code Detail

MEDICARE: CARE ACCESS PSN, LLC

MEDICARE: CARE ACCESS PSN, 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
1302F00000XExclusive Provider Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265788202
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE ACCESS PSN, LLC
Provider Business Mailing Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 866-276-6239
Fax Number : 305-614-0362
Provider Business Practice Location Address
First Line : 2001 S ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-3429
Country : US
Telephone Number : 866-276-6239
Fax Number : 305-614-0362
Authorized Official
Title or Position : PRESIDENT
Name : MR. GERALD B. STERNSTEIN
Credential :
Telephone Number : 305-614-5012
Provider Enumeration Date : 07/27/2012
Last Update Date : 04/08/2014

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Directions to “CARE ACCESS PSN, LLC ” Practice Location

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