MEDICARE: MANAGED CARE OF NORTH AMERICA, 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	302R00000X	Health Maintenance Organization	66015	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1932333796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGED CARE OF NORTH AMERICA, INC.

Provider Business Mailing Address
First Line	:	3230 W COMMERCIAL BLVD
Second Line	:	SUITE 190
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3429
Country	:	US
Telephone Number	:	954-731-7131
Fax Number	:	954-397-7441

Provider Business Practice Location Address
First Line	:	3230 W COMMERCIAL BLVD
Second Line	:	SUITE 190
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-3429
Country	:	US
Telephone Number	:	954-731-7131
Fax Number	:	954-397-7441

Authorized Official
Title or Position	:	COO
Name	:	MR. GLEN FEINGOLD
Credential	:
Telephone Number	:	305-215-1507

Provider Enumeration Date	:	05/08/2009
Last Update Date	:	02/17/2010

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