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NPI Code Detail

MEDICARE: WISE CARE CORP

MEDICARE: WISE CARE CORP
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
1261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110663OTHERFLAHCA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598213555
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISE CARE CORP
Provider Business Mailing Address
First Line : 6710 MAIN ST STE 234
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2067
Country : US
Telephone Number : 786-360-5107
Fax Number : 786-558-9119
Provider Business Practice Location Address
First Line : 6710 MAIN ST STE 234
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-2067
Country : US
Telephone Number : 786-360-5107
Fax Number : 786-558-9119
Authorized Official
Title or Position : PRESIDENT
Name : MISS MARAY ARTEAGA
Credential :
Telephone Number : 786-360-5107
Provider Enumeration Date : 09/19/2016
Last Update Date : 03/28/2024

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Directions to “WISE CARE CORP ” Practice Location

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