| Organization Name: | M CARE MEDICAL CENTER INC. |
| NPI Number: | 1396166252 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANETTE EMILCARE (PRESIDENT) |
| Mailing Address: | 850 S 21st St Suite B Fort Pierce |
| State: | FL US |
| Postal Code: | 349504893 |
| Phone Number: | 7722524872 |
| Fax Number: | 7722524873 |
| NPI Enumeration Date: | 12/19/2013 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P13000065004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |