# MEDCORE GROUP, LLC

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

## Provider details

- **NPI number:** 1942391701
- **Authorized official:** JUAN A MARRERO (PRESIDENT/ OWNER)
- **Authorized official phone:** (305) 796-1561

## Contact information

- **Practice address:** 1150 NW 72ND AVE, \#450, MIAMI, FL 33126-1936
- **Practice address phone:** (305) 594-5682
- **Practice address fax:** (305) 594-0980
- **Mailing address:** 1150 NW 72ND AVE, \#450, MIAMI, FL 33126-1936
- **Mailing address phone:** (305) 594-5682
- **Mailing address fax:** (305) 594-0980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC5527 | FL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020