Provider Demographics
NPI:1134080849
Name:PHYSIOCARE SERVICES CORP
Entity type:Organization
Organization Name:PHYSIOCARE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:754-422-5212
Mailing Address - Street 1:535 OAKS DR APT 107
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3765
Mailing Address - Country:US
Mailing Address - Phone:754-422-5212
Mailing Address - Fax:
Practice Address - Street 1:535 OAKS DR APT 107
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3765
Practice Address - Country:US
Practice Address - Phone:754-422-5212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy