Active NPI
South Florida Doctors Group, PLLC
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1407512759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SOUTH FLORIDA DOCTORS GROUP, PLLC
- Practice address
- 3412 W 84TH St Ste 104
Hialeah, FL 33018-4918 - Phone
- (305) 512-9002
- Fax
- (855) 840-7185
- NPI assigned
- Nov 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aurelio Torres Consuegra, MD
- Title
- Owner
- Phone
- (954) 442-0784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3412 W 84TH St Ste 104
Hialeah, FL 33018-4918
Mailing address
18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023419703 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- South Florida Doctors Group PLLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1053077305
-
- Internal Medicine Physician
- Davie, FL
- NPI 1437863354
-
- Internal Medicine Physician
- Pembroke Pines, FL
- NPI 1689115081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636588800000",
"number": "1407512759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18503 PINES BLVD STE 306",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291406",
"telephone_number": "954-442-0784",
"fax_number": "855-840-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 W 84TH ST STE 104",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184918",
"telephone_number": "305-512-9002",
"fax_number": "855-840-7185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA DOCTORS GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A",
"authorized_official_last_name": "TORRES CONSUEGRA",
"authorized_official_first_name": "AURELIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-442-0784",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023419703",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
- South Florida Anesthesia Associates PA
- South Florida Autism Center
- South Florida Autism Charter Schools, Inc.
- South Florida Bone & Joint Institute
- South Florida Dental Care
- South Florida Eye Care
- South Florida Health Centers Inc
- South Florida Home Care Group Corp
- South Florida Internal Medicine
- South Florida Internal Medicine Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.