MEDICARE: FUTURE CARE SOLUTION 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	261QR1100X	Research Clinic/Center

General Provider Information

NPI Number	:	1639446123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE CARE SOLUTION LLC

Provider Business Mailing Address
First Line	:	240 HIALEAH DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-5219
Country	:	US
Telephone Number	:	305-888-0410
Fax Number	:	305-888-0450

Provider Business Practice Location Address
First Line	:	240 HIALEAH DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-5219
Country	:	US
Telephone Number	:	305-888-0410
Fax Number	:	305-888-0450

Authorized Official
Title or Position	:	OWNER
Name	:	MAYRISLEIDY ORAMA
Credential	:
Telephone Number	:	305-888-0410

Provider Enumeration Date	:	11/28/2011
Last Update Date	:	11/28/2011

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Directions to “FUTURE CARE SOLUTION LLC ” Practice Location

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