MEDICARE: SOUTH FLORIDA MEDICAL CLINICS ASSOCIATION 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	207Q00000X	Family Medicine Physician	N/A	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881691848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA MEDICAL CLINICS ASSOCIATION INC

Provider Business Mailing Address
First Line	:	6301 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2217
Country	:	US
Telephone Number	:	954-961-8394
Fax Number	:	954-241-0445

Provider Business Practice Location Address
First Line	:	6301 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2217
Country	:	US
Telephone Number	:	954-961-8394
Fax Number	:	954-241-0445

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARMANDO E ROCA SR.
Credential	:	M.D.
Telephone Number	:	954-961-8394

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	05/24/2012

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