Southern Health and Wellness, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME120723 Issued in FL

Legal business name

SOUTHERN HEALTH AND WELLNESS, INC

Practice address

4302Alton Road
Suite 470
Miami Beach, FL 33140-4557

Phone

(786) 447-9726

Fax

(305) 397-8889

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Nicole Trotter, MD

Title

Doctor

Phone

(786) 509-9980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1437605789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON ROAD",
            "address_2": "SUITE 470",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "786-509-9980",
            "fax_number": "305-397-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302ALTON ROAD",
            "address_2": "SUITE 470",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404557",
            "telephone_number": "786-447-9726",
            "fax_number": "305-397-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "786-509-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.