Healthcare Provider Details

I. General information

NPI: 1922947274
Provider Name (Legal Business Name): FLORIDA HEALTH CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 NE 125TH ST STE 100
NORTH MIAMI FL
33161-5913
US

IV. Provider business mailing address

5450 SW 8TH ST STE 202
CORAL GABLES FL
33134-2200
US

V. Phone/Fax

Practice location:
  • Phone: 305-967-8381
  • Fax: 305-967-8394
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KELLY ACEVEDO
Title or Position: OWNER
Credential:
Phone: 305-967-8381