MEDICARE: SFDC ACCUTE CARE CORP

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	305S00000X	Point of Service

General Provider Information

NPI Number	:	1881044139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SFDC ACCUTE CARE CORP

Provider Business Mailing Address
First Line	:	8057 NW 155TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5874
Country	:	US
Telephone Number	:	305-698-2200
Fax Number	:	305-698-2243

Provider Business Practice Location Address
First Line	:	8057 NW 155TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5874
Country	:	US
Telephone Number	:	305-698-2200
Fax Number	:	305-698-2243

Authorized Official
Title or Position	:	OWNER
Name	:	YIZEL AMADOR
Credential	:
Telephone Number	:	305-698-2200

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	06/17/2016

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Directions to “SFDC ACCUTE CARE CORP ” Practice Location

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