Organization
PHYSICIANS CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ELIAS ROVITO MD (DOCTOR)
(954) 585-1996
Entity
Organization
Contact information
Practice address
4100 S HOSPITAL DR, SUITE #111, PLANTATION, FL 33317-2813
(954) 585-1996
(954) 785-1998
Mailing address
4100 S HOSPITAL DR, SUITE #111, PLANTATION, FL 33317-2813
(954) 585-1996
(954) 785-1998
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME30354
LICENSE
FL
Enumeration date
08/10/2014
Last updated
08/10/2014
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