Healthcare Provider Details
I. General information
NPI: 1720901614
Provider Name (Legal Business Name): ANNCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1750 SW 82ND TER
MIRAMAR FL
33025-2109
US
IV. Provider business mailing address
1750 SW 82ND TER
MIRAMAR FL
33025-2109
US
V. Phone/Fax
- Phone: 786-562-1451
- Fax:
- Phone: 786-562-1451
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANET
FERNANDEZ CEPERO
Title or Position: OWNER
Credential: APRN, FNP-C
Phone: 786-562-1451