Organization
PREVECARE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN IGLESIAS (PRESIDENT)
(305) 245-1700
Entity
Organization
Contact information
Practice address
123 N KROME AVE, HOMESTEAD, FL 33030-6008
(305) 245-1700
(305) 245-7200
Mailing address
123 N KROME AVE, HOMESTEAD, FL 33030-6008
(305) 245-1700
(305) 245-7200
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
11/04/2010
Last updated
01/16/2013
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