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
400 E DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603-3866
(305) 278-0200
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
(305) 851-4110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123079-00
—
FL
Enumeration date
09/07/2018
Last updated
02/25/2026
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