MEDICARE: AC MEDICAL CARE PL

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	ME83638	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	08015A	OTHER	FL	BC/BS

General Provider Information

NPI Number	:	1427241025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AC MEDICAL CARE PL

Provider Business Mailing Address
First Line	:	4698 FOREST HILL BLVD STE B
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5719
Country	:	US
Telephone Number	:	561-969-3435
Fax Number	:	561-969-3107

Provider Business Practice Location Address
First Line	:	4698 FOREST HILL BLVD
Second Line	:	SUITE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-5719
Country	:	US
Telephone Number	:	561-969-3435
Fax Number	:	561-969-3107

Authorized Official
Title or Position	:	OWNER
Name	:	ANDRE CELESTIN
Credential	:
Telephone Number	:	561-969-3435

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	01/08/2024

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Directions to “AC MEDICAL CARE PL ” Practice Location

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