# LIFE CARE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1740919828
- **Authorized official:** MANUEL GABRIEL HERRERA (CEO/PRESIDENT)
- **Authorized official phone:** (561) 231-9487

## Contact information

- **Practice address:** 1665 PALM BEACH LAKES BLVD STE B-202, WEST PALM BEACH, FL 33401-2121
- **Practice address phone:** (561) 231-9487
- **Practice address fax:** (561) 726-6201
- **Mailing address:** 1665 PALM BEACH LAKES BLVD STE B-202, WEST PALM BEACH, FL 33401-2121
- **Mailing address phone:** (561) 231-9487
- **Mailing address fax:** (561) 726-6201

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2022
- **Last updated:** 06/06/2022