Provider Demographics
NPI:1093937385
Name:POSTCARE MEDICAL CORP
Entity Type:Organization
Organization Name:POSTCARE MEDICAL CORP
Other - Org Name:POSTCARE MEDICAL CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:UDE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:407-658-6050
Mailing Address - Street 1:7333 LAKE UNDERHILL RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-6061
Mailing Address - Country:US
Mailing Address - Phone:407-658-6050
Mailing Address - Fax:407-658-6169
Practice Address - Street 1:7333 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-6061
Practice Address - Country:US
Practice Address - Phone:407-658-6050
Practice Address - Fax:407-658-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH21408332BX2000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1014579OtherNCPDP