Organization Active NPI

Southland Clinic

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1043693906
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SOUTHLAND CLINIC
Practice address
20920 S Dixie Hwy
Miami, FL 33189-2220
Phone
(305) 222-5005
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oscilda Fernandez
Title
President
Phone
(305) 222-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

20920 S Dixie Hwy
Miami, FL 33189-2220

Mailing address

20920 S Dixie Hwy
Miami, FL 33189-2220

National Provider Directory

National Provider Directory

Locations

20920 S Dixie Hwy
Miami, FL 33189
Phone (305) 222-5005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1043693906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892220",
            "telephone_number": "305-222-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "OSCILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-222-5005"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.