Healthcare Provider Details

I. General information

NPI: 1275852386
Provider Name (Legal Business Name): AMERICAN CARE OF SOUTH FLORIDA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2010
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 NW 54TH ST SUITE C
MIAMI FL
33142-3807
US

IV. Provider business mailing address

11255 SW 211TH ST
MIAMI FL
33189-2240
US

V. Phone/Fax

Practice location:
  • Phone: 786-594-0000
  • Fax: 786-318-2175
Mailing address:
  • Phone: 305-278-0200
  • Fax: 786-235-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME53888
License Number StateFL

VIII. Authorized Official

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