Provider Demographics
NPI:1518371236
Name:MED-CARE RESEARCH, INC.
Entity Type:Organization
Organization Name:MED-CARE RESEARCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SITE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-587-6352
Mailing Address - Street 1:1865 N.E 163RD ST.
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162
Mailing Address - Country:US
Mailing Address - Phone:305-587-6352
Mailing Address - Fax:305-503-9205
Practice Address - Street 1:1865 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4805
Practice Address - Country:US
Practice Address - Phone:305-587-6352
Practice Address - Fax:305-503-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch