Provider Demographics
NPI:1932837895
Name:FLORIDA HEALTH CLINIC INC
Entity Type:Organization
Organization Name:FLORIDA HEALTH CLINIC INC
Other - Org Name:ACEVEDO HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-967-8381
Mailing Address - Street 1:5450 SW 8TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2200
Mailing Address - Country:US
Mailing Address - Phone:305-967-8381
Mailing Address - Fax:
Practice Address - Street 1:1583 N MILITARY TRL STE A
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-4709
Practice Address - Country:US
Practice Address - Phone:561-489-7791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA HEALTH CLINIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-09
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty