Provider Demographics
NPI:1508597253
Name:PROCARE ORTHOPEDICS, INC
Entity Type:Organization
Organization Name:PROCARE ORTHOPEDICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAJMUS
Authorized Official - Middle Name:SAQUIB
Authorized Official - Last Name:FARUQUI
Authorized Official - Suffix:
Authorized Official - Credentials:CPO/CPED
Authorized Official - Phone:954-448-1640
Mailing Address - Street 1:5190 NW 167TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6338
Mailing Address - Country:US
Mailing Address - Phone:754-213-1646
Mailing Address - Fax:754-264-0099
Practice Address - Street 1:5190 NW 167TH ST STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6338
Practice Address - Country:US
Practice Address - Phone:754-213-1646
Practice Address - Fax:754-264-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies