MEDICARE: AMERICAN CARE OF TAMPA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1245385095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CARE OF TAMPA INC

Provider Business Mailing Address
First Line	:	11255 SW 211TH ST
Second Line	:	SUITE 5
City	:	MIAMI
State	:	FL
Zip	:	33189-2240
Country	:	US
Telephone Number	:	305-278-0200
Fax Number	:	786-235-0145

Provider Business Practice Location Address
First Line	:	11211 N NEBRASKA AVE
Second Line	:	SUITE A-5
City	:	TAMPA
State	:	FL
Zip	:	33612-5777
Country	:	US
Telephone Number	:	813-514-2333
Fax Number	:	813-514-2216

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DR. JOSE E. GARCIA JR.
Credential	:	MD
Telephone Number	:	305-278-0200

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	10/16/2012

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