# ACN PHYSICIANS GROUP CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACN PHYSICIAN GROUP CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619296308
- **Legal business name:** ACN PHYSICIAN GROUP CORP
- **Authorized official:** MR. VLADIMIR SANTOS MD (PRESIDENT)
- **Authorized official phone:** (786) 953-8221

## Contact information

- **Practice address:** 7490 SW 23RD ST STE 201, MIAMI, FL 33155-1417
- **Practice address phone:** (786) 953-8221
- **Practice address fax:** (786) 953-7514
- **Mailing address:** 7490 SW 23RD ST STE 201, MIAMI, FL 33155-1417
- **Mailing address phone:** (786) 953-8221
- **Mailing address fax:** (786) 953-7514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 08/07/2023