Provider Demographics
NPI:1184909509
Name:US CARE MANAGEMENT, INC.
Entity type:Organization
Organization Name:US CARE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-281-0006
Mailing Address - Street 1:12740 GRAN BAY PARKWAY
Mailing Address - Street 2:SUITE #2400
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-5495
Mailing Address - Country:US
Mailing Address - Phone:904-281-0006
Mailing Address - Fax:904-665-0097
Practice Address - Street 1:12740 GRAN BAY PARKWAY
Practice Address - Street 2:SUITE #2400
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-5495
Practice Address - Country:US
Practice Address - Phone:904-281-0006
Practice Address - Fax:904-665-0097
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:US PREVENTIVE MEDICINE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty