Healthcare Provider Details

I. General information

NPI: 1942129218
Provider Name (Legal Business Name): AANMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 SW 154TH TER
DAVIE FL
33331-2630
US

IV. Provider business mailing address

3790 SW 154TH TER
DAVIE FL
33331-2630
US

V. Phone/Fax

Practice location:
  • Phone: 917-293-7513
  • Fax: 954-869-7392
Mailing address:
  • Phone: 917-293-7513
  • Fax: 954-869-7392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON NUNEZ
Title or Position: MD
Credential: MD
Phone: 917-293-7513