Provider Demographics
NPI:1689165805
Name:MULTI-CARE MEDICAL OF SW FLORIDA, PLLC
Entity Type:Organization
Organization Name:MULTI-CARE MEDICAL OF SW FLORIDA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GELCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-441-7246
Mailing Address - Street 1:11270 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4101
Mailing Address - Country:US
Mailing Address - Phone:954-441-7246
Mailing Address - Fax:954-441-7241
Practice Address - Street 1:13701 CYPRESS TERRACE CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-8828
Practice Address - Country:US
Practice Address - Phone:239-277-1655
Practice Address - Fax:239-277-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty