# BUEN PASTOR MEDICAL CENTER

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

## Provider details

- **NPI number:** 1184232522
- **Authorized official:** DR. GABRIEL G FLOREZ MD (PRESIDENT)
- **Authorized official phone:** (954) 882-0191

## Contact information

- **Practice address:** 4400 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3514
- **Practice address phone:** (954) 882-0191
- **Mailing address:** 4400 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3514
- **Mailing address phone:** (954) 882-0191

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 05/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HCC12260 | AHCA LICENSE | FL |