NPIMap

Organization Active NPI

South Health LLC

  • Pediatric Endocrinology Physician
  • Ave Maria, FL
National Provider Identifier
1235974916
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
SOUTH HEALTH LLC
Practice address
5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668
Phone
(239) 867-4395
Fax
(844) 735-8444
NPI assigned
Jun 26, 2024
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Erwing Xavier Martinez
Title
Owner
Phone
(305) 418-0580

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
Pediatric Endocrinology Physician 2080P0205X Primary
Pediatric Pulmonology Physician 2080P0214X
Psychiatry Physician 2084P0800X
Child & Adolescent Psychiatry Physician 2084P0804X
Obesity Medicine (Preventive Medicine) Physician 2083B0002X

Addresses

Primary practice location

5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668

Mailing address

5068 Annunciation Cir Unit 111
Ave Maria, FL 34142-9668
Phone (239) 867-4395

Other practice location 1

5673 SW 137th Ave
Miami, FL 33183-1101
Phone (053) 853-9493

Other practice location 2

3485 W Flagler St Ste 300
Miami, FL 33135-1042
Phone (305) 456-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730003756 FL Part B Supplier - Clinic/Group Practice 1850838541 Receives reassigned benefits from 36 practitioners
Practice locations: Doral, FL; Ave Maria, FL; Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318585South Health LLC5068 Annunciation Circle, Unit 111, Ave Maria, FL 34142Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

5038 Coronado Pkwy
Ste 200
Naples, FL 34116
Phone (305) 418-0580

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1235974916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 ANNUNCIATION CIR UNIT 111",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429668",
            "telephone_number": "239-867-4395",
            "fax_number": "844-735-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 ANNUNCIATION CIR UNIT 111",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429668",
            "telephone_number": "239-867-4395",
            "fax_number": "844-735-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5673 SW 137th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331831101",
            "country_code": "US",
            "telephone_number": "053-853-9493",
            "fax_number": "305-385-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3485 W Flagler St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331351042",
            "country_code": "US",
            "telephone_number": "305-456-1600",
            "fax_number": "786-953-4591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ERWING XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-418-0580"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.