Organization
OUR CARE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL BAGBY (AMBR)
(727) 415-2308
Entity
Organization
Contact information
Practice address
1700 N DIXIE HWY STE 140, BOCA RATON, FL 33432-1808
(727) 415-2308
Mailing address
5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL 33780-8062
(727) 415-2308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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