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