MEDICARE: WORLD MEDICAL 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
1	261QH0100X	Health Service Clinic/Center	L12000004860	FL

General Provider Information

NPI Number	:	1578838249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD MEDICAL CARE, LLC

Provider Business Mailing Address
First Line	:	2999 NE 191ST ST STE 406
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3116
Country	:	US
Telephone Number	:	305-692-9009
Fax Number	:

Provider Business Practice Location Address
First Line	:	2999 NE 191ST ST STE 406
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-3116
Country	:	US
Telephone Number	:	305-692-9009
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. TERESA PECYNER
Credential	:
Telephone Number	:	305-692-9009

Provider Enumeration Date	:	03/14/2012
Last Update Date	:	03/14/2012

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