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Organization
METCARE OF DELAND
Active
Organization
METCARE OF DELAND
Active
Parent organization
METROPOLITAN HEALTH NETWORKS
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN HEALTH NETWORKS
Authorized official
GEMMA ROSELLO (VICE PRESIDENT)
(305) 500-2000
Entity
Organization
Contact information
Practice address
929 N SPRING GARDEN AVE, SUITE 170, DELAND, FL 32720-0900
(561) 805-8530
(502) 508-4773
Mailing address
6101 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2055
(305) 500-2114
(305) 370-6024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX415B
MEDICARE PTAN
FL
Enumeration date
07/21/2015
Last updated
06/10/2016
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