Healthcare Provider Details

I. General information

NPI: 1932739596
Provider Name (Legal Business Name): AMERICAN CARE OF NORTH FLORIDA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MCDUFF AVE S
JACKSONVILLE FL
32254-4250
US

IV. Provider business mailing address

12171 SW 268TH ST
HOMESTEAD FL
33032-8001
US

V. Phone/Fax

Practice location:
  • Phone: 904-506-4044
  • Fax: 305-851-4110
Mailing address:
  • Phone: 305-278-0200
  • Fax: 305-851-4110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AGUEDA BOUZA
Title or Position: PROVIDER SERVICE MANAGER
Credential:
Phone: 305-278-0200