NPI 1083882872

Trc Care INC.

Organisation Preferred Provider Organization Fort Lauderdale, FL

Practice location

Address: 1151 Park Dr, Fort Lauderdale, FL 33312-7341
Phone: (954) 793-3379
Fax: (954) 530-6179

Authorised official

Name: Tashanna Caldwell
Title: Administrator
Phone: (954) 793-3379

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 06000097 (FL)

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Registry record

NPI: 1083882872
Entity type: Organization
NPI issued: 14 Feb 2008
Record last updated: 14 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.