Organization
BUEN PASTOR MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL G FLOREZ MD (PRESIDENT)
(954) 882-0191
Entity
Organization
Contact information
Practice address
4400 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3514
(954) 882-0191
Mailing address
4400 SHERIDAN ST STE C, HOLLYWOOD, FL 33021-3514
(954) 882-0191
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC12260
AHCA LICENSE
FL
Enumeration date
07/22/2020
Last updated
05/31/2023
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