Provider Demographics
NPI:1437168762
Name:REAL-CARE MEDICAL INC
Entity type:Organization
Organization Name:REAL-CARE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-956-7787
Mailing Address - Street 1:58 NE 167TH ST
Mailing Address - Street 2:
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3401
Mailing Address - Country:US
Mailing Address - Phone:305-956-7787
Mailing Address - Fax:305-956-7716
Practice Address - Street 1:58 NE 167TH ST
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3401
Practice Address - Country:US
Practice Address - Phone:305-956-7787
Practice Address - Fax:305-956-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271605400Medicaid
FL271605400Medicaid