# CENTRO MEDICO FAMILIAR BUEN PASTOR INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013243849
- **Authorized official:** GABRIEL FLOREZ MD (MD)
- **Authorized official phone:** (954) 882-0191

## Contact information

- **Practice address:** 4440 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3535
- **Practice address phone:** (954) 882-0191
- **Practice address fax:** (954) 963-1557
- **Mailing address:** 4440 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3535
- **Mailing address phone:** (954) 882-0191
- **Mailing address fax:** (954) 963-1557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 10/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001771300 | — | FL |