Healthcare Provider Details

I. General information

NPI: 1730755562
Provider Name (Legal Business Name): AOC HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 HOLLYWOOD BLVD STE B
HOLLYWOOD FL
33021-6545
US

IV. Provider business mailing address

4801 HOLLYWOOD BLVD STE B
HOLLYWOOD FL
33021-6545
US

V. Phone/Fax

Practice location:
  • Phone: 954-927-5905
  • Fax: 786-685-2424
Mailing address:
  • Phone: 786-856-8237
  • Fax: 786-685-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANIBAL REINIER CABRERA LOPEZ
Title or Position: OWNER
Credential: NP
Phone: 786-856-8237