# PREFERRED CARE PARTNERS MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREFERRED CARE PARTNERS MEDICAL GROUP, INC.
- **Other names:** Preferred Care Partners Medical Group of North Shore
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801170964
- **Legal business name:** PREFERRED CARE PARTNERS MEDICAL GROUP, INC.
- **Authorized official:** MR. JOSEPH L CARUNCHO ESQ. (PRESIDENT)
- **Authorized official phone:** (305) 670-8440

## Contact information

- **Practice address:** 1210 NW 95TH ST, MIAMI, FL 33147-3318
- **Practice address phone:** (305) 691-1820
- **Practice address fax:** (305) 694-8450
- **Mailing address:** PO BOX 566538, MIAMI, FL 33256-6538
- **Mailing address phone:** (305) 691-1820
- **Mailing address fax:** (305) 694-8450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/06/2011