Southern Physicians Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN PHYSICIANS GROUP LLC

Practice address

1609 Pasadena Ave S Ste 1E
South Pasadena, FL 33707-4555

Phone

(919) 349-1232

Fax

(727) 677-9333

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Bryan Fink, DO

Title

President

Phone

(727) 677-9333

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1245098185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 75TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813748",
            "telephone_number": "919-349-1232",
            "fax_number": "727-677-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S STE 1E",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074555",
            "telephone_number": "919-349-1232",
            "fax_number": "727-677-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-677-9333",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinn Singletary, PA-C
• John P Slosburg, M.D.
• Pamela Marie Snyder
• Samantha Snyder, PT, DPT
• Sonus-USA, Inc.
• Anto Stanic, PHARMD.
• Cheryl Kordek Stanley, ARNP
• Michaela Marie Strauss
• Sunrise IV Boca Ciega SL, LLC
• Dana Swope, MBA, RDN, CSOWM

• Family Medicine Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.