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Organization
PROFESSIONAL-MED CARE SERVICES CORP
Active
Organization
PROFESSIONAL-MED CARE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN C LEZAMA (PRESIDENT)
(305) 598-8486
Entity
Organization
Contact information
Practice address
10691 SW 88TH ST, SUITE 312, MIAMI, FL 33176-8712
(305) 598-8486
(305) 598-8487
Mailing address
10691 SW 88TH ST, SUITE 312, MIAMI, FL 33176-8712
(305) 598-8486
(305) 598-8487
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109427
MEDICARE PTAN
FL
Enumeration date
04/04/2008
Last updated
01/24/2012
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