Provider Demographics
NPI:1447023379
Name:ACCESS MEDICAL CARE INC.
Entity type:Organization
Organization Name:ACCESS MEDICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CADAVIECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-201-1202
Mailing Address - Street 1:18501 PINES BLVD STE 207B
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1420
Mailing Address - Country:US
Mailing Address - Phone:754-201-1202
Mailing Address - Fax:786-524-0880
Practice Address - Street 1:18501 PINES BLVD STE 207B
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1420
Practice Address - Country:US
Practice Address - Phone:754-201-1202
Practice Address - Fax:786-524-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management