Healthcare Provider Details

I. General information

NPI: 1750685400
Provider Name (Legal Business Name): AMERICAN CARE OF SOUTH FLORIDA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 S 28TH ST
FORT PIERCE FL
34947-6999
US

IV. Provider business mailing address

12171 SW 268TH ST
HOMESTEAD FL
33032-8001
US

V. Phone/Fax

Practice location:
  • Phone: 305-278-0200
  • Fax: 305-851-4110
Mailing address:
  • Phone: 305-278-0200
  • Fax: 305-851-4110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME53888
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE E GARCIA JR.
Title or Position: OWNER/CEO
Credential: MD
Phone: 305-278-0200