Organization

Jack Cacic And Company Inc

Legal Business Name

Jack Cacic And Company Inc

NPI Number

1912102021

NPI Type

Organization

Enumeration Date

06/19/2007

Specialties

(Taxonomies)

Code

111NR0400X
111NS0005X

Primary Taxonomy

No
No

Licenses

State

Florida

License Number

CH7724

Contact
Information

Purpose

Mailing
Location

Address

17 N H ST
17 N H ST

City

Lake Worth
Lake Worth

State

FL
FL

Postal Code

33460-3701
33460-3701

Country

US
US

Telephone Number

(561) 547-2210
(561) 547-2210

Authorized Official

Name

Dr. Jack Cacic

Title or Position

PRESIDENT OWNER

Telephone Number

(561) 547-2210

Identifiers

Identifier

54015

Identifier State

FL

Identifier Issuer

BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address