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SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC NPI 1427296037


NPI Information

NPI: 1427296037
Provider Name: SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC
Classification: Contractor - 171W00000X
Entity Type: Organization

CLIA Number: 10D2164013

Address:
7705 NW 48TH ST STE 100
DORAL, FL
ZIP 33166
Phone: (305) 594-2363
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SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC is a contractor in Doral, FL. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC NPI is 1427296037. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7705 NW 48TH ST STE 100
DORAL, FL
ZIP 33166-454
Phone: (305) 594-2363
Fax: (305) 597-6423

The provider's authorized official is Juan A Borrego .
The authorized official title is Vp Operations and has the following contact phone number (305) 594-2363.

The CLIA number assigned to this NPI record is 10D2164013 - other - research facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171W00000XContractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERFLORIDATAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.