MEDICARE: MULTI-CARE MEDICAL OF LAKE WORTH PLLC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1770283228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTI-CARE MEDICAL OF LAKE WORTH PLLC

Provider Business Mailing Address
First Line	:	11270 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-4101
Country	:	US
Telephone Number	:	954-663-6562
Fax Number	:	954-333-9448

Provider Business Practice Location Address
First Line	:	2531 N DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6250
Country	:	US
Telephone Number	:	954-663-6562
Fax Number	:	954-333-9448

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	BERNABE M PEREZ
Credential	:
Telephone Number	:	954-663-6562

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	03/03/2023

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