Provider Demographics
NPI:1992510648
Name:PROCARE ORTHOPEDICS, INC
Entity type:Organization
Organization Name:PROCARE ORTHOPEDICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAJMUS
Authorized Official - Middle Name:SAQUIB
Authorized Official - Last Name:FARUQUI
Authorized Official - Suffix:
Authorized Official - Credentials:ORT, PRO, PED
Authorized Official - Phone:954-448-1640
Mailing Address - Street 1:990 LAVENDER CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2435
Mailing Address - Country:US
Mailing Address - Phone:954-448-1640
Mailing Address - Fax:754-264-0099
Practice Address - Street 1:1190 NW 95TH ST STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2064
Practice Address - Country:US
Practice Address - Phone:754-213-1646
Practice Address - Fax:754-264-0099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROCARE ORTHOPEDICS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies