MEDICARE: FLORIDA HEALTH CLINIC INC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1922947274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA HEALTH CLINIC INC

Provider Business Mailing Address
First Line	:	5450 SW 8TH ST STE 202
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 NE 125TH ST STE 100
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5913
Country	:	US
Telephone Number	:	305-967-8381
Fax Number	:	305-967-8394

Authorized Official
Title or Position	:	OWNER
Name	:	KELLY ACEVEDO
Credential	:
Telephone Number	:	305-967-8381

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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