Provider Demographics
NPI:1881044139
Name:SFDC ACCUTE CARE CORP
Entity Type:Organization
Organization Name:SFDC ACCUTE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YIZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-698-2200
Mailing Address - Street 1:8057 NW 155TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5874
Mailing Address - Country:US
Mailing Address - Phone:305-698-2200
Mailing Address - Fax:305-698-2243
Practice Address - Street 1:8057 NW 155TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5874
Practice Address - Country:US
Practice Address - Phone:305-698-2200
Practice Address - Fax:305-698-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service