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ATLANTIC SOUTH MEDICAL GROUP INCORPORATED NPI 1114275427


NPI Information

NPI: 1114275427
Provider Name: ATLANTIC SOUTH MEDICAL GROUP INCORPORATED
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2029122

Address:
2925 AVENTURA BLVD
SUITE 101
AVENTURA, FL
ZIP 33180
Phone: (305) 931-7424
Get Directions

ATLANTIC SOUTH MEDICAL GROUP INCORPORATED is a clinic center in Aventura, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATLANTIC SOUTH MEDICAL GROUP INCORPORATED NPI is 1114275427. The provider is registered as an organization entity type.

The provider's business location address is:

2925 AVENTURA BLVD
SUITE 101
AVENTURA, FL
ZIP 33180-124
Phone: (305) 931-7424
Fax: (305) 931-7425

The provider's authorized official is Volrick Morrison .
The authorized official title is Physician and has the following contact phone number (305) 931-7424.

The CLIA number assigned to this NPI record is 10D2029122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 3/23/2015.


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
1261Q00000XClinic/CenterYes

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
1007960400MEDICAIDFLORIDA
2HZ157AMEDICARE PINFLORIDA

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: 1/10/2023

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.