Organization
AMERICAN CARE OF NORTH FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGUEDA BOUZA (PROVIDER SERVICE MANAGER)
(305) 278-0200
Entity
Organization
Contact information
Practice address
11211 N NEBRASKA AVE, SUITE A-5, TAMPA, FL 33612-5777
(813) 514-2333
(813) 514-2216
Mailing address
11211 N NEBRASKA AVE, SUITE A-5, TAMPA, FL 33612-5777
(813) 514-2333
(813) 514-2216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4940
FL
208D00000X
General Practice Physician
Primary
4940
FL
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4940
FACILITY LICENSE
FL
01
—
K8488
MEDICARE
FL
Enumeration date
03/20/2008
Last updated
02/25/2026
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