Healthcare Provider Details

I. General information

NPI: 1760818603
Provider Name (Legal Business Name): ACN 'L' MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2013
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 SW 8TH ST
MIAMI FL
33144-4653
US

IV. Provider business mailing address

7205 SW 8TH ST
MIAMI FL
33144-4653
US

V. Phone/Fax

Practice location:
  • Phone: 305-261-5331
  • Fax: 305-261-5334
Mailing address:
  • Phone: 305-261-5331
  • Fax: 305-261-5334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberACN366
License Number StateFL

VIII. Authorized Official

Name: ORLANDO E LEIVA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-261-5331