Organization Active NPI

South Florida Physician Care Network P.a.

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1205195534
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SOUTH FLORIDA PHYSICIAN CARE NETWORK P.A.
Practice address
1275 W 47TH PL
Suite 307
Hialeah, FL 33012-3394
Phone
(305) 631-6840
Fax
(305) 631-6894
NPI assigned
May 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Oswaldo S Sandoval, M.D.
Title
President
Phone
(305) 631-6840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1275 W 47TH PL
Suite 307
Hialeah, FL 33012-3394

Mailing address

1275 W 47TH PL
Suite 307
Hialeah, FL 33012-3394
Phone (305) 631-6840

National Provider Directory

National Provider Directory

Locations

4751 NW 4th Ter
Miami, FL 33126
Phone (305) 387-5863

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1205195534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL",
            "address_2": "SUITE 307",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123394",
            "telephone_number": "305-631-6840",
            "fax_number": "305-631-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL",
            "address_2": "SUITE 307",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123394",
            "telephone_number": "305-631-6840",
            "fax_number": "305-631-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PHYSICIAN CARE NETWORK P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "OSWALDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-631-6840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.