Organization
PHYSICIANS CARE PLUC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUAL GONZALEZ MD (MEDICAL DIRECTOR)
(954) 510-8200
Entity
Organization
Contact information
Practice address
9750 NW 33RD ST, 214, CORAL SPRINGS, FL 33065-4042
(954) 510-8200
(954) 510-0474
Mailing address
7800 W OAKLAND PARK BLVD, E214, SUNRISE, FL 33351-6741
(954) 510-8200
(954) 510-0474
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK6978
RAILROAD MEDICARE GROUP #
FL
Enumeration date
05/19/2006
Last updated
08/22/2020
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