NPIMap

Organization Active NPI

American Care of North Florida, Inc

  • General Practice Physician
  • Gulfport, FL
National Provider Identifier
1114630803
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AMERICAN CARE OF NORTH FLORIDA, INC
Practice address
2001 49TH St S
Gulfport, FL 33707-4915
Phone
(727) 220-4423
Fax
(727) 291-0053
NPI assigned
Dec 28, 2022
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Agueda Bouza
Title
Provider Service Manager
Phone
(305) 278-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2001 49TH St S
Gulfport, FL 33707-4915

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (305) 278-0200

Other identifiers 1

IdentifierTypeStateIssuer
012077100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140916001072 FL Part B Supplier - Clinic/Group Practice 2567681075 Receives reassigned benefits from 49 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL; Winter Haven, FL; Lakeland, FL; Lake Wales, FL; Jacksonville, FL; Haines City, FL; Gulfport, FL; New Port Richey, FL

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2290051American Care of North Florida, Inc2001 49TH St South, Gulfport, FL 33707Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
American Care of North Florida Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

2001 49th St S
Gulfport, FL 33707
Phone (727) 220-4423

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1114630803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "305-278-0200",
            "fax_number": "305-851-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 49TH ST S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074915",
            "telephone_number": "727-220-4423",
            "fax_number": "727-291-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARE OF NORTH FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BOUZA",
        "authorized_official_first_name": "AGUEDA",
        "authorized_official_title_or_position": "PROVIDER SERVICE MANAGER",
        "authorized_official_telephone_number": "305-278-0200"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012077100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.