| American Family Care | |
|
2501 E Hallandale Beach Blvd Hallandale Beach FL 33009-4818 | |
| (954) 932-0120 | |
| Not Available |
| Full Name | American Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2501 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Anibal Tineo (PRESIDENT) |
| Authorized Official Contact | 9549320120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Family Care Po Box 5943 Virginia Beach VA 23471-0943 Ph: (561) 757-4475 | American Family Care 2501 E Hallandale Beach Blvd Hallandale Beach FL 33009-4818 Ph: (954) 932-0120 |
| NPI Number | 1528691961 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 07/21/2021 |
| Medicare PECOS PAC ID | 9638595143 |
|---|---|
| Medicare Enrollment ID | O20200814000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528691961 | NPI | - | NPPES |
| Provider Name | Ronaldo Calonje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104977362 PECOS PAC ID: 5395755391 Enrollment ID: I20060504000178 |
| Provider Name | Alicia Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124501804 PECOS PAC ID: 3678812286 Enrollment ID: I20190226002319 |
| Provider Name | Izabella Da Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811453319 PECOS PAC ID: 2961804752 Enrollment ID: I20210715004270 |
| Provider Name | Stephanie Annessa James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093477002 PECOS PAC ID: 9830580869 Enrollment ID: I20211229001098 |
| Provider Name | Randi Alissa Futterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694710 PECOS PAC ID: 6103213624 Enrollment ID: I20220429001975 |
| Provider Name | Renee S Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902009 PECOS PAC ID: 8921475740 Enrollment ID: I20221108003239 |
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