MEDICARE: SYSTEM CARE I INC

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	:	1912785312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYSTEM CARE I INC

Provider Business Mailing Address
First Line	:	100 S DIXIE HWY STE 300E
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	561-444-0461
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S DIXIE HWY STE 300E
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	561-444-0461
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE ADEL CASTILLO
Credential	:
Telephone Number	:	561-444-0461

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	10/10/2023

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