MEDICARE: TARCON CARE SERVICES 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1518660356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARCON CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	37 N ORANGE AVE STE 807
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-2416
Country	:	US
Telephone Number	:	689-250-6734
Fax Number	:	407-209-2281

Provider Business Practice Location Address
First Line	:	4767 NEW BROAD ST STE 315
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6405
Country	:	US
Telephone Number	:	689-250-6734
Fax Number	:	407-209-2281

Authorized Official
Title or Position	:	OWNER & CEO
Name	:	MR. MATIAS OSCAR TARRIO PAGES
Credential	:
Telephone Number	:	689-250-6734

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	07/03/2023

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Directions to “TARCON CARE SERVICES LLC ” Practice Location

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