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MDS OF SOUTH FLORIDA PA NPI 1619946837


NPI Information

NPI: 1619946837
Provider Name: MDS OF SOUTH FLORIDA PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D0871841

Address:
9045 SW 87TH CT
MIAMI, FL
ZIP 33176
Phone: (305) 598-7715
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MDS OF SOUTH FLORIDA PA is an internal medicine in Miami, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MDS OF SOUTH FLORIDA PA NPI is 1619946837. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9045 SW 87TH CT
MIAMI, FL
ZIP 33176-304
Phone: (305) 598-7715
Fax: (305) 598-7719

The provider's authorized official is Jody Beth Male .
The authorized official title is Practice Manager and has the following contact phone number (305) 598-7715.

The CLIA number assigned to this NPI record is 10D0871841 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/9/2008.


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
1207QA0505XFamily MedicineAdult MedicineOS8299FLORIDANo
2207R00000XInternal MedicineME52945FLORIDANo
3207R00000XInternal MedicineME0071416FLORIDAYes

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
1K0849MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP MEDICARE 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: 4/28/2024

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