Provider Demographics
NPI:1669858924
Name:NEXTCARE INC
Entity Type:Organization
Organization Name:NEXTCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:
Authorized Official - Last Name:HANABERGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-815-4926
Mailing Address - Street 1:7490 SW 23RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1419
Mailing Address - Country:US
Mailing Address - Phone:954-815-4926
Mailing Address - Fax:
Practice Address - Street 1:7490 SW 23RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1419
Practice Address - Country:US
Practice Address - Phone:954-815-4926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65756261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care