Organization Active NPI

Southflorida Pro Group Inc

  • General Practice Physician
  • Virginia Gardens, FL
National Provider Identifier
1336236546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC7249 Issued in FL
Legal business name
SOUTHFLORIDA PRO GROUP INC
Practice address
6595 NW 36TH St Ste 303
Virginia Gardens, FL 33166-6967
Phone
(305) 876-9070
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos Ramos Escobar
Title
Owner
Phone
(305) 876-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC7249 FL Primary

Addresses

Primary practice location

6595 NW 36TH St Ste 303
Virginia Gardens, FL 33166-6967

Mailing address

9379 SW 39TH St
Miami, FL 33165-4148
Phone (786) 346-3822

National Provider Directory

National Provider Directory

Locations

6595 NW 36th St
Ste 303
Virginia Gardens, FL 33166
Phone (305) 876-9070

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336236546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 SW 39TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654148",
            "telephone_number": "786-346-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST STE 303",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666967",
            "telephone_number": "305-876-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFLORIDA PRO GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RAMOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-876-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC7249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.