# INTERSTATE CARE I, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083305098
- **Authorized official:** CESAR HERNANDEZ (OWNER)
- **Authorized official phone:** (954) 366-1187

## Contact information

- **Practice address:** 2950 W CYPRESS CREEK RD STE 304, FORT LAUDERDALE, FL 33309-1796
- **Practice address phone:** (954) 366-1187
- **Mailing address:** 2950 W CYPRESS CREEK RD STE 304, FORT LAUDERDALE, FL 33309-1796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2023
- **Last updated:** 06/19/2023