Healthcare Provider Details
I. General information
NPI: 1407980261
Provider Name (Legal Business Name): AMERICAN PRIMARY CARE PHYSICIANS OF SOUTH FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6870 DYKES RD
SOUTHWEST RANCHES FL
33331-4663
US
IV. Provider business mailing address
6870 DYKES RD
SOUTHWEST RANCHES FL
33331-4663
US
V. Phone/Fax
- Phone: 954-434-1010
- Fax: 954-434-1730
- Phone: 954-434-1010
- Fax: 954-434-1730
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FELIPE
L
CUBAS
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D.
Phone: 954-434-1010