# PHYSICIANS CARE PLUC INC

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

## Provider details

- **NPI number:** 1104870856
- **Authorized official:** DR. MANUAL GONZALEZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (954) 510-8200

## Contact information

- **Practice address:** 9750 NW 33RD ST, 214, CORAL SPRINGS, FL 33065-4042
- **Practice address phone:** (954) 510-8200
- **Practice address fax:** (954) 510-0474
- **Mailing address:** 7800 W OAKLAND PARK BLVD, E214, SUNRISE, FL 33351-6741
- **Mailing address phone:** (954) 510-8200
- **Mailing address fax:** (954) 510-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CK6978 | RAILROAD MEDICARE GROUP \# | FL |