MEDICARE: POC NETWORK TECHNOLOGIES INC

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	261QP0905X	State or Local Public Health Clinic/Center
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1568630366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POC NETWORK TECHNOLOGIES INC

Provider Business Mailing Address
First Line	:	999 PONCE DE LEON BLVD
Second Line	:	SUITE 515
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-3000
Country	:	US
Telephone Number	:	305-853-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 GALIANO ST
Second Line	:	STE 250
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5402
Country	:	US
Telephone Number	:	623-434-4628
Fax Number	:

Authorized Official
Title or Position	:	VP DEVELOPMENT SPECIALTY SERVICES
Name	:	ANDREA SERATTE
Credential	:
Telephone Number	:	305-853-8121

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	08/04/2013

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