Provider Demographics
NPI:1285031096
Name:INTERNATIONAL PATIENT CARE, INC
Entity Type:Organization
Organization Name:INTERNATIONAL PATIENT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:BACCHELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-342-8000
Mailing Address - Street 1:750 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5424
Mailing Address - Country:US
Mailing Address - Phone:954-342-8000
Mailing Address - Fax:954-342-8100
Practice Address - Street 1:750 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5424
Practice Address - Country:US
Practice Address - Phone:954-342-8000
Practice Address - Fax:954-342-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care