MEDICARE: PATIENT CARE AMERICA

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	332B00000X	Durable Medical Equipment & Medical Supplies	PH22190	FL

General Provider Information

NPI Number	:	1518405968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT CARE AMERICA

Provider Business Mailing Address
First Line	:	3890 PARK CENTRAL BLVD N
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2264
Country	:	US
Telephone Number	:	866-348-0441
Fax Number	:

Provider Business Practice Location Address
First Line	:	3890 PARK CENTRAL BLVD N
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-2264
Country	:	US
Telephone Number	:	866-348-0441
Fax Number	:

Authorized Official
Title or Position	:	VP OF OPERATIONS/ PIC
Name	:	CAROLINE ELLER
Credential	:
Telephone Number	:	866-348-0441

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	02/06/2017

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Directions to “PATIENT CARE AMERICA ” Practice Location

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