# PHYCARE NETWORK LLC

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

## Provider details

- **NPI number:** 1437596137
- **Authorized official:** ISABELLE DIAZ (CEO)
- **Authorized official phone:** (305) 389-7018

## Contact information

- **Practice address:** 9415 NE 6TH AVE, MIAMI SHORES, FL 33138-2737
- **Practice address phone:** (305) 389-7018
- **Mailing address:** 9415 NE 6TH AVE, MIAMI SHORES, FL 33138
- **Mailing address phone:** (305) 389-7018

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 06/04/2013