SRC PROFESIONAL CORP NPI 1447815972

NPI Information

NPI: 1447815972
Provider Name: SRC PROFESIONAL CORP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
13925 SW 179TH ST
MIAMI, FL
ZIP 33177
Phone: (786) 237-9124
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SRC PROFESIONAL CORP is a family nurse practitioner in Miami, FL. SRC PROFESIONAL CORP NPI is 1447815972. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13925 SW 179TH ST
MIAMI, FL
ZIP 33177-743
Phone: (786) 237-9124

The provider's authorized official is Sergio Rodriguez-chaple .
The authorized official title is Arnp and has the following contact phone number (786) 237-9124.

The enumeration date for this NPI number is 5/9/2019 and was last updated on 5/9/2019.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 11/14/2023

NPI Synchronization or Removal

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