MEDICARE: FALOCARE NETWORK

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1437802279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALOCARE NETWORK

Provider Business Mailing Address
First Line	:	6142 MIRAMAR PARKWAY, SUITE D
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023
Country	:	US
Telephone Number	:	954-591-6130
Fax Number	:

Provider Business Practice Location Address
First Line	:	1552 NE 4TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304
Country	:	US
Telephone Number	:	954-467-8855
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. CHARLES HARRY RICHARD
Credential	:	DO
Telephone Number	:	754-368-0475

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/03/2022

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Directions to “FALOCARE NETWORK ” Practice Location

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