Organization Active NPI

South Florida Health Group Corp

  • Clinic/Center
  • Greenacres, FL
National Provider Identifier
1467745505
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC9152 Issued in FL
Legal business name
SOUTH FLORIDA HEALTH GROUP CORP
Practice address
3900 Woodlake Blvd
Suite 202
Greenacres, FL 33463-3044
Phone
(561) 249-7701
Fax
(561) 249-7708
NPI assigned
May 24, 2011
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Beatriz Rodriguez
Title
President
Phone
(561) 249-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC9152 FL Primary

Addresses

Primary practice location

3900 Woodlake Blvd
Suite 202
Greenacres, FL 33463-3044

Mailing address

3900 Woodlake Blvd
Suite 202
Greenacres, FL 33463-3044
Phone (561) 249-7701

Other identifiers 1

IdentifierTypeStateIssuer
FILE 9645OtherFLAHCA HCC UNIT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1467745505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD",
            "address_2": "SUITE 202",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633044",
            "telephone_number": "561-249-7701",
            "fax_number": "561-249-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD",
            "address_2": "SUITE 202",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633044",
            "telephone_number": "561-249-7701",
            "fax_number": "561-249-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA HEALTH GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-249-7701"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT",
            "identifier": "FILE 9645",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.