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General NPI Number Information
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NPI Number | 1730755562
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Entity Type | Organization
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Legal Business Name | AOC HEALTHCARE CENTER
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 4801 HOLLYWOOD BLVD STE B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6545
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Country | US
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Telephone | 954-927-5905
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Fax | 786-685-2424
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Provider Business Mailing Address
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Address Line | 4801 HOLLYWOOD BLVD STE B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6545
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Country | US
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Telephone | 786-856-8237
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Fax | 786-685-2424
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Authorized Official
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Title or Position | OWNER
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Name | ANIBAL REINIER CABRERA LOPEZ
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Credential | NP
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Telephone | 786-856-8237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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