Organization Active NPI

South Office Corp

  • Internal Medicine Physician
  • Doral, FL
National Provider Identifier
1407255136
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH OFFICE CORP
Practice address
3900 NW 79TH Ave
Suite 650
Doral, FL 33166-6556
Phone
(786) 429-0325
Fax
(786) 364-1293
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Mr. Osorio Aidy
Title
Owner
Phone
(786) 429-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3900 NW 79TH Ave
Suite 650
Doral, FL 33166-6556

Mailing address

3900 NW 79TH Ave
Suite 650
Doral, FL 33166-6556
Phone (786) 429-0325

National Provider Directory

National Provider Directory

Locations

3900 NW 79th Ave
Ste 650
Doral, FL 33166
Phone (786) 429-0325

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1407255136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 650",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-429-0325",
            "fax_number": "786-364-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 650",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "786-429-0325",
            "fax_number": "786-364-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OFFICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "AIDY",
        "authorized_official_first_name": "OSORIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-429-0325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.