Organization
WE CARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE PETTAWAY (CHAIRMAN OF THE BOARD)
(305) 409-1287
Entity
Organization
Contact information
Practice address
714 NW 62ND ST, MIAMI, FL 33150-4332
(305) 409-1287
Mailing address
PO BOX 471602, MIAMI, FL 33247-1602
(305) 559-7996
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269915000
—
FL
Enumeration date
03/03/2009
Last updated
03/03/2009
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