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NPI Code Detail

MEDICARE: MYCARE CLINIC

MEDICARE: MYCARE CLINIC
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
1261QP2300XPrimary Care Clinic/Center261QP2300XFL

General Provider Information

NPI Number : 1538401377
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYCARE CLINIC
Provider Business Mailing Address
First Line : 4202 SILVER FOX DR
Second Line :
City : NAPLES
State : FL
Zip : 34119-8596
Country : US
Telephone Number : 239-260-5891
Fax Number : 239-260-5895
Provider Business Practice Location Address
First Line : 6945 CARLISLE CT
Second Line :
City : NAPLES
State : FL
Zip : 34109-6883
Country : US
Telephone Number : 239-260-5891
Fax Number : 239-260-5895
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : DR. PAUL JOSEPH HOBAICA
Credential : M.D
Telephone Number : 239-260-5891
Provider Enumeration Date : 03/19/2013
Last Update Date : 03/19/2013

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Directions to “MYCARE CLINIC ” Practice Location

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