MEDICARE: AOC HEALTHCARE CENTER

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
2	207Q00000X	Family Medicine Physician

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

General Provider Information

NPI Number	:	1730755562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AOC HEALTHCARE CENTER

Provider Business Mailing Address
First Line	:	4801 HOLLYWOOD BLVD STE B
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6545
Country	:	US
Telephone Number	:	786-856-8237
Fax Number	:	786-685-2424

Provider Business Practice Location Address
First Line	:	4801 HOLLYWOOD BLVD STE B
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6545
Country	:	US
Telephone Number	:	954-927-5905
Fax Number	:	786-685-2424

Authorized Official
Title or Position	:	OWNER
Name	:	ANIBAL REINIER CABRERA LOPEZ
Credential	:	NP
Telephone Number	:	786-856-8237

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	12/18/2025

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Directions to “AOC HEALTHCARE CENTER ” Practice Location

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