Provider Demographics
NPI:1366906919
Name:CLINCART INC
Entity type:Organization
Organization Name:CLINCART INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BEAVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-256-8092
Mailing Address - Street 1:8910 MIRAMAR PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4961
Mailing Address - Country:US
Mailing Address - Phone:954-256-8090
Mailing Address - Fax:954-256-8033
Practice Address - Street 1:8910 MIRAMAR PKWY STE 204
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4961
Practice Address - Country:US
Practice Address - Phone:954-256-8090
Practice Address - Fax:954-256-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies