Provider Demographics
NPI:1396274411
Name:RIGHT MEDICAL CARE
Entity type:Organization
Organization Name:RIGHT MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HERRERA SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-349-2301
Mailing Address - Street 1:835 EXECUTIVE LN STE 130
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-8068
Mailing Address - Country:US
Mailing Address - Phone:321-349-2301
Mailing Address - Fax:321-349-2310
Practice Address - Street 1:835 EXECUTIVE LN STE 130
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-8068
Practice Address - Country:US
Practice Address - Phone:321-349-2301
Practice Address - Fax:321-349-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114704261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009883200Medicaid