Provider Demographics
NPI:1619296308
Name:ACN PHYSICIANS GROUP CORP
Entity Type:Organization
Organization Name:ACN PHYSICIANS GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-953-8221
Mailing Address - Street 1:7490 SW 23RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1417
Mailing Address - Country:US
Mailing Address - Phone:786-953-8221
Mailing Address - Fax:786-953-7514
Practice Address - Street 1:7490 SW 23RD ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1417
Practice Address - Country:US
Practice Address - Phone:786-953-8221
Practice Address - Fax:786-953-7514
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACN PHYSICIAN GROUP CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-20
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)