MEDICARE: ALTERNATIVE MEDICAL CENTER OF FLORIDA 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	261QH0100X	Health Service Clinic/Center	HCC5786	FL

General Provider Information

NPI Number	:	1255388344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE MEDICAL CENTER OF FLORIDA INC

Provider Business Mailing Address
First Line	:	7383 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	305-551-0695
Fax Number	:	305-551-4337

Provider Business Practice Location Address
First Line	:	7383 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	305-551-0695
Fax Number	:	305-551-4337

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IVET SANCHEZ
Credential	:
Telephone Number	:	305-551-0695

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	01/30/2014

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