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NPI Code Detail

MEDICARE: AMERICAN ACCESS CARE OF FLORIDA LLC

MEDICARE: AMERICAN ACCESS CARE OF FLORIDA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician

General Provider Information

NPI Number : 1629833058
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN ACCESS CARE OF FLORIDA LLC
Provider Business Mailing Address
First Line : PO BOX 277180
Second Line :
City : ATLANTA
State : GA
Zip : 30384-7180
Country : US
Telephone Number : 610-644-8900
Fax Number : 484-924-0053
Provider Business Practice Location Address
First Line : 8201 W BROWARD BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33324-2701
Country : US
Telephone Number : 954-583-8472
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICAL
Name : GREGG MILLER
Credential : MD
Telephone Number : 717-515-4048
Provider Enumeration Date : 02/15/2024
Last Update Date : 04/22/2026

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Directions to “AMERICAN ACCESS CARE OF FLORIDA LLC ” Practice Location

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