Provider Demographics
NPI:1720708548
Name:BIOCARE ORTHOPEDICS AND NEUROLOGY LLC
Entity type:Organization
Organization Name:BIOCARE ORTHOPEDICS AND NEUROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PRENTISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-947-3443
Mailing Address - Street 1:1500 W CYPRESS CREEK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1830
Mailing Address - Country:US
Mailing Address - Phone:954-947-3443
Mailing Address - Fax:
Practice Address - Street 1:1500 W CYPRESS CREEK RD STE 202
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1830
Practice Address - Country:US
Practice Address - Phone:954-947-3443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty