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General NPI Number Information
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NPI Number | 1508303413
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE OF NORTH FLORIDA, INC.
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 1100 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5674
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Country | US
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Telephone | 305-278-0200
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Fax | 305-851-4110
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Provider Business Mailing Address
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Address Line | 12171 SW 268TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33032-8001
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Country | US
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Telephone | 305-278-0200
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Fax | 305-851-4110
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Authorized Official
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Title or Position | CEO - PRESIDENT
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Name | 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 | ME-53888
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License Number State | FL
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