Provider Demographics
NPI:1578838249
Name:WORLD MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:WORLD MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PECYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-692-9009
Mailing Address - Street 1:2999 NE 191ST ST STE 406
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3116
Mailing Address - Country:US
Mailing Address - Phone:305-692-9009
Mailing Address - Fax:
Practice Address - Street 1:2999 NE 191ST ST STE 406
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-3116
Practice Address - Country:US
Practice Address - Phone:305-692-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL12000004860261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service