Provider Demographics
NPI:1134441975
Name:HD MEDICO CARE, INC.
Entity type:Organization
Organization Name:HD MEDICO CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HEBREU
Authorized Official - Middle Name:
Authorized Official - Last Name:DESSALINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-319-2474
Mailing Address - Street 1:8927 HYPOLUXO RD
Mailing Address - Street 2:SUITE A4, PMB 217
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5262
Mailing Address - Country:US
Mailing Address - Phone:786-319-2474
Mailing Address - Fax:561-737-2954
Practice Address - Street 1:2650 S MILITARY TRL
Practice Address - Street 2:SUITE 12
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7514
Practice Address - Country:US
Practice Address - Phone:786-319-2474
Practice Address - Fax:561-737-2954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-21
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center