Organization
FALOCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HARRY RICHARD DO (MEDICAL DIRECTOR)
(754) 368-0475
Entity
Organization
Contact information
Practice address
1552 NE 4TH AVE, FORT LAUDERDALE, FL 33304
(954) 467-8855
Mailing address
6142 MIRAMAR PARKWAY, SUITE D, MIRAMAR, FL 33023
(954) 591-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/03/2022
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