MEDICARE: AMERICAN CARE OF NORTH FLORIDA, 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	332900000X	Non-Pharmacy Dispensing Site
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1932739596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CARE OF NORTH FLORIDA, INC

Provider Business Mailing Address
First Line	:	12171 SW 268TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33032-8001
Country	:	US
Telephone Number	:	305-278-0200
Fax Number	:	305-851-4110

Provider Business Practice Location Address
First Line	:	500 MCDUFF AVE S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-4250
Country	:	US
Telephone Number	:	904-506-4044
Fax Number	:	305-851-4110

Authorized Official
Title or Position	:	PROVIDER SERVICE MANAGER
Name	:	AGUEDA BOUZA
Credential	:
Telephone Number	:	305-278-0200

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	02/25/2026

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