Provider Demographics
NPI:1245071935
Name:KASS MEDICAL CARE CORP
Entity type:Organization
Organization Name:KASS MEDICAL CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-378-2569
Mailing Address - Street 1:7270 NW 12TH ST STE 335
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1953
Mailing Address - Country:US
Mailing Address - Phone:786-378-2569
Mailing Address - Fax:
Practice Address - Street 1:7270 NW 12TH ST STE 335
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1953
Practice Address - Country:US
Practice Address - Phone:786-378-2569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy