# PHYSICIAN CARE MANAGMENT, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIAN CARE MANAGMENT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235407396
- **Legal business name:** PHYSICIAN CARE MANAGMENT, LLC
- **Authorized official:** SANTIAGO FREIRE (PRESIDENT)
- **Authorized official phone:** (305) 263-1090

## Contact information

- **Practice address:** 2655 S LE JEUNE RD, \#804, MIAMI, FL 33134-5832
- **Practice address phone:** (305) 263-1090
- **Mailing address:** 2655 LEJEUNE ROAD, \#804, CORAL GABLES, FL 33134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011