Provider Demographics
NPI:1356881775
Name:YOUR MEDICAL CARE CENTERS INC
Entity type:Organization
Organization Name:YOUR MEDICAL CARE CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELET
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-738-1805
Mailing Address - Street 1:11501 BEACON POINTE LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8848
Mailing Address - Country:US
Mailing Address - Phone:786-738-1805
Mailing Address - Fax:
Practice Address - Street 1:301 SE 1ST ST STE B
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3503
Practice Address - Country:US
Practice Address - Phone:786-260-1763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2017-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9249994261QA0006X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility