Provider Demographics
NPI:1376019307
Name:ACCELERATED CARE, INC
Entity Type:Organization
Organization Name:ACCELERATED CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ETLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-747-7599
Mailing Address - Street 1:17071 W DIXIE HWY STE 123
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3773
Mailing Address - Country:US
Mailing Address - Phone:305-747-7599
Mailing Address - Fax:305-560-5080
Practice Address - Street 1:17071 W DIXIE HWY STE 123
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3773
Practice Address - Country:US
Practice Address - Phone:305-747-7599
Practice Address - Fax:305-560-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care