SOUTH MIAMI MEDICAL GROUP LLC NPI 1659940179

NPI Information

  • NPI: 1659940179
  • Provider Name: SOUTH MIAMI MEDICAL GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2164113
  • Address: 7400 SW 50TH TER STE 203
    MIAMI, FL
    ZIP 33155
  • Phone: (786) 534-8131

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NPI Details

SOUTH MIAMI MEDICAL GROUP LLC is a family medicine in Miami, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH MIAMI MEDICAL GROUP LLC NPI is 1659940179. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7400 SW 50TH TER STE 203
MIAMI, FL
ZIP 33155-486
Phone: (786) 534-8131
Fax: (786) 534-8191

The provider's authorized official is Edgar Gonzalez .
The authorized official title is Physician and has the following contact phone number (786) 718-3739.

The CLIA number assigned to this NPI record is 10D2164113 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2021 and was last updated on 7/16/2021.

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
1207Q00000XFamily MedicineYes

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: 3/30/2025

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