Provider Demographics
NPI:1619633369
Name:REMOTE CARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:REMOTE CARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOCSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-622-3609
Mailing Address - Street 1:9858 CLINT MOORE RD STE C111
Mailing Address - Street 2:#164
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1044
Mailing Address - Country:US
Mailing Address - Phone:561-289-7729
Mailing Address - Fax:916-333-3634
Practice Address - Street 1:416 CLEMATIS ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5312
Practice Address - Country:US
Practice Address - Phone:561-289-7729
Practice Address - Fax:916-333-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty