MEDICARE: TERRA CARE

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1679212591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRA CARE

Provider Business Mailing Address
First Line	:	1899 NE 164TH ST # 2
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4109
Country	:	US
Telephone Number	:	305-697-2520
Fax Number	:

Provider Business Practice Location Address
First Line	:	1899 NE 164TH ST # 2
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4109
Country	:	US
Telephone Number	:	305-697-2520
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXEY NAGANYUK
Credential	:
Telephone Number	:	305-697-2520

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	07/10/2023

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Directions to “TERRA CARE ” Practice Location

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