Provider Demographics
NPI:1336372267
Name:ACCUCARE INC
Entity Type:Organization
Organization Name:ACCUCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:C
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-472-7526
Mailing Address - Street 1:2655 E OAKLAND PARK BLVD
Mailing Address - Street 2:STE 5
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1662
Mailing Address - Country:US
Mailing Address - Phone:954-630-3131
Mailing Address - Fax:954-472-5605
Practice Address - Street 1:2655 EAST OAKLAND PARK BLVD
Practice Address - Street 2:STE 5
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306
Practice Address - Country:US
Practice Address - Phone:954-630-3131
Practice Address - Fax:954-472-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3964225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y905FOtherBCBS OF FLORIDA
Y905FOtherBCBS OF FLORIDA