MEDICARE: AMERICAN FAMILY CARE GROUP

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	207Q00000X	Family Medicine Physician
2	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AETNA	OTHER	FL	COMERCIAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	CIGNA	OTHER	FL	COMERCIAL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265170559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FAMILY CARE GROUP

Provider Business Mailing Address
First Line	:	110 NE 2ND PL STE 106
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2553
Country	:	US
Telephone Number	:	239-244-2917
Fax Number	:	239-236-1991

Provider Business Practice Location Address
First Line	:	110 NE 2ND PL STE 106
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2553
Country	:	US
Telephone Number	:	239-244-2917
Fax Number	:	239-236-1991

Authorized Official
Title or Position	:	APRN
Name	:	SAILYS NUNEZ DIAZ
Credential	:	APRN
Telephone Number	:	239-244-2917

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	02/04/2026

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Directions to “AMERICAN FAMILY CARE GROUP ” Practice Location

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