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NPI Code Detail

MEDICARE: INTEGRATED COMPREHENSIVE URGENT CARE, LLC.

MEDICARE: INTEGRATED COMPREHENSIVE URGENT CARE, 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
1207RC0000XCardiovascular Disease Physician
2261QI0500XInfusion Therapy Clinic/Center
3163WI0500XInfusion Therapy Registered Nurse
4213E00000XPodiatrist
5207RR0500XRheumatology Physician
6208D00000XGeneral Practice Physician

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 : 1568069441
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATED COMPREHENSIVE URGENT CARE, LLC.
Provider Business Mailing Address
First Line : 780 NW 42ND AVE STE 301
Second Line :
City : MIAMI
State : FL
Zip : 33126-5536
Country : US
Telephone Number : 786-875-4282
Fax Number : 305-317-6130
Provider Business Practice Location Address
First Line : 3595 W 20TH AVE STE 130
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4537
Country : US
Telephone Number : 786-850-4282
Fax Number : 305-598-8796
Authorized Official
Title or Position : PRESIDENT
Name : ELIZABETH BRACERAS
Credential :
Telephone Number : 305-863-8860
Provider Enumeration Date : 10/05/2020
Last Update Date : 03/02/2026

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Directions to “INTEGRATED COMPREHENSIVE URGENT CARE, LLC. ” Practice Location

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