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1730755562 NPI number — AOC HEALTHCARE CENTER

NPI Number: 1730755562
Health Care Provider/Practitioner: AOC HEALTHCARE CENTER

Information about “1730755562” NPI (AOC HEALTHCARE CENTER) exists in 1730755562 in HTML format HTML  |  1730755562 in plain Text format TXT  |  1730755562 in PDF (Portable Document Format) PDF  |  1730755562 in an XML format XML  formats.

NPI Number : 1730755562 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730755562",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AOC HEALTHCARE CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4801 HOLLYWOOD BLVD STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLYWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33021-6545",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-856-8237",
    "MailingAddressFaxNumber": "786-685-2424",
    "FirstLinePracticeLocationAddress": "4801 HOLLYWOOD BLVD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLYWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33021-6545",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-927-5905",
    "PracticeLocationAddressFaxNumber": "786-685-2424",
    "EnumerationDate": "06/02/2021",
    "LastUpdateDate": "12/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CABRERA LOPEZ",
    "AuthorizedOfficialFirstName": "ANIBAL",
    "AuthorizedOfficialMiddleName": "REINIER",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "786-856-8237",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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