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General NPI Number Information
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NPI Number | 1285077651
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE OF SOUTH FLORIDA, INC.
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 802 S DIXIE HWY SUITE A
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City | LAKE WORTH
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State | FL
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Zip | 33460-5042
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Country | US
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Telephone | 561-318-6463
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Fax | 561-909-2077
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Provider Business Mailing Address
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Address Line | 11255 SW 211TH ST
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City | MIAMI
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State | FL
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Zip | 33189-2240
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Country | US
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Telephone | 305-278-0200
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Fax | 786-235-0145
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSE E. GARCIA JR.
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Credential | MD
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Telephone | 305-278-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME53888
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License Number State | FL
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