Provider Demographics
NPI:1629441480
Name:PHYSICIANS ON CALL, LLC
Entity Type:Organization
Organization Name:PHYSICIANS ON CALL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-237-6666
Mailing Address - Street 1:13700 SW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6605
Mailing Address - Country:US
Mailing Address - Phone:786-237-6666
Mailing Address - Fax:
Practice Address - Street 1:17900 NW 5TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2808
Practice Address - Country:US
Practice Address - Phone:954-251-1175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL109374146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109374OtherFLORIDA LICENSE