Provider Type Icon

FLORIDA PHYSICIANS GROUP INC NPI 1417009564


NPI Information

NPI: 1417009564
Provider Name: FLORIDA PHYSICIANS GROUP INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D0961579

Address:
686 E 49TH ST
HIALEAH, FL
ZIP 33013
Phone: (305) 696-7921
Get Directions

FLORIDA PHYSICIANS GROUP INC is a general practice in Hialeah, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FLORIDA PHYSICIANS GROUP INC NPI is 1417009564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

686 E 49TH ST
HIALEAH, FL
ZIP 33013-964
Phone: (305) 696-7921
Fax: (305) 688-9671

The provider's authorized official is Wilfrido Benitez .
The authorized official title is Owner and has the following contact phone number (305) 696-7921.

The CLIA number assigned to this NPI record is 10D0961579 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeME68516FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140272OTHERFLORIDABCBS
2379024000MEDICAIDFLORIDA

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: 4/28/2024

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.