MEDICARE: AMERICAN WALK-IN, 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	261Q00000X	Clinic/Center	HCC842	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B903W	OTHER		BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1265562128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN WALK-IN, INC

Provider Business Mailing Address
First Line	:	6870 DYKES RD
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-4663
Country	:	US
Telephone Number	:	954-434-1010
Fax Number	:	954-434-1730

Provider Business Practice Location Address
First Line	:	6870 DYKES RD
Second Line	:
City	:	SOUTHWEST RANCHES
State	:	FL
Zip	:	33331-4663
Country	:	US
Telephone Number	:	954-434-1010
Fax Number	:	954-434-1730

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FELIPE L CUBAS
Credential	:	M.D.
Telephone Number	:	954-434-1010

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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Directions to “AMERICAN WALK-IN, INC ” Practice Location

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