We Care Medical Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

ME058 Issued in FL

Legal business name

WE CARE MEDICAL CORP

Practice address

714 NW 62ND St
Miami, FL 33150-4332

Phone

(305) 409-1287

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Clyde Pettaway

Title

Chairman of the Board

Phone

(305) 409-1287

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1821238882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471602",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332471602",
            "telephone_number": "305-559-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504332",
            "telephone_number": "305-409-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "PETTAWAY",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "305-409-1287"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269915000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Miami, FL
• Providers in Miami, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.