NPIMap

Organization Active NPI

Sunsouth Health Centers South Florida, LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1114585643
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNSOUTH HEALTH CENTERS SOUTH FLORIDA, LLC
Practice address
1901 NW 17TH Ave
Miami, FL 33125-1513
Phone
(305) 925-0009
Fax
(305) 697-0009
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Carlos Arias
Title
Ceo
Phone
(407) 558-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1901 NW 17TH Ave
Miami, FL 33125-1513

Mailing address

14255 SW 42ND St
Miami, FL 33175-6408
Phone (305) 306-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305004496 FL Part B Supplier - Clinic/Group Practice 2365888955 Receives reassigned benefits from 6 practitioners
Practice locations: Lake Worth, FL; Pembroke Pines, FL; North Lauderdale, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

7910 W McNab Rd
North Lauderdale, FL 33068
Phone (954) 666-9362

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1114585643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14255 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "305-306-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251513",
            "telephone_number": "305-925-0009",
            "fax_number": "305-697-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSOUTH HEALTH CENTERS SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-558-1872"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "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 May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.