Provider Demographics
NPI:1508668146
Name:MO CARE SOLUTION LLC
Entity type:Organization
Organization Name:MO CARE SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:MARIAM
Authorized Official - Last Name:OLIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-838-7635
Mailing Address - Street 1:1333 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4858
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1333 W 37TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4858
Practice Address - Country:US
Practice Address - Phone:786-838-6735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty