South Florida Physician Mangment Group LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC

Practice address

7705 NW 48TH St Ste 100
Doral, FL 33166-5454

Phone

(305) 594-2363

Fax

(305) 597-6423

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Juan A Borrego

Title

VP Operations

Phone

(305) 594-2363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1427296037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 NW 48TH ST STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665454",
            "telephone_number": "305-594-2363",
            "fax_number": "305-597-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 NW 48TH ST STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665454",
            "telephone_number": "305-594-2363",
            "fax_number": "305-597-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PHYSICIAN MANGMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "305-594-2363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Doral, FL
• Providers in Doral, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.