Organization Active NPI

South Florida Community Clinic Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1255414850
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCC6076 Issued in FL
Legal business name
SOUTH FLORIDA COMMUNITY CLINIC INC
Practice address
7171 Coral Way
Suite #207
Miami, FL 33155-1449
Phone
(305) 261-6888
Fax
(305) 261-6310
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mrs. Maria A Diaz
Title
President
Phone
(305) 261-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X HCC6076 FL Primary

Addresses

Primary practice location

7171 Coral Way
Suite #207
Miami, FL 33155-1449

Mailing address

7171 Coral Way
Suite #207
Miami, FL 33155-1449
Phone (305) 261-6888

National Provider Directory

National Provider Directory

Locations

7171 Coral Way
Ste 207
Miami, FL 33155
Phone (305) 261-6888

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1255414850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE #207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-261-6888",
            "fax_number": "305-261-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CORAL WAY",
            "address_2": "SUITE #207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551449",
            "telephone_number": "305-261-6888",
            "fax_number": "305-261-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-261-6888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC6076",
            "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 Jan 25, 2008; 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.