Specialty Care Assistance Corp.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

228082 Issued in FL

Legal business name

SPECIALTY CARE ASSISTANCE CORP.

Practice address

1721 Woodmarker CT
Brandon, FL 33510-2760

Phone

(813) 802-6175

NPI assigned

Jun 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose Rojas

Title

President

Phone

(813) 802-6175

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1003078221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4256",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335094256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 WOODMARKER CT",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102760",
            "telephone_number": "813-802-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE ASSISTANCE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-802-6175"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "228082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676688998",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Brandon, FL
• Providers in Brandon, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.