Organization
INNOVATIVE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOKHAN GUVENLI MD (MEDICAL DIRECTOR)
(954) 450-9595
Entity
Organization
Contact information
Practice address
12600 PEMBROKE RD, SUITE 100, MIRAMAR, FL 33027-2544
(954) 432-5400
(877) 671-4101
Mailing address
1 SW 129TH AVE, SUITE 109, PEMBROKE PINES, FL 33027-1761
(954) 450-9595
(954) 450-9774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS10374
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME53538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BF602
GROUP MEDICARE #
FL
01
—
BW654Z
DR. MARTINEZ MEDICARE
FL
01
—
CA283W
DR. GUVENLI MEDICARE
FL
Enumeration date
05/04/2007
Last updated
07/21/2022
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