Organization Active NPI

South Florida Primary Healthcare

  • Primary Care Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1568283893
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
SOUTH FLORIDA PRIMARY HEALTHCARE
Practice address
8053 W Oakland Park Blvd Ste 600
Sunrise, FL 33351-1159
Phone
(786) 412-1150
Fax
(478) 202-9585
NPI assigned
Oct 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Tysharra Belfon, APRNNPI 1477087104
Title
Ceo
Phone
(786) 412-1150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

8053 W Oakland Park Blvd Ste 600
Sunrise, FL 33351-1159

Mailing address

1360 NW 73Rd Ave
Plantation, FL 33313-5341
Phone (786) 412-1150

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2229347South Florida Primary Healthcare LLC8053 W Oakland Blvd Ste 600, Sunrise, FL 33351Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory

Locations

9640 Stirling Rd
Unit 103A
Hollywood, FL 33024

8053 W Oakland Park Blvd
Ste 600
Sunrise, FL 33351
Phone (786) 412-1150

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1568283893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 NW 73RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333135341",
            "telephone_number": "786-412-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 W OAKLAND PARK BLVD STE 600",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333511159",
            "telephone_number": "786-412-1150",
            "fax_number": "478-202-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PRIMARY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BELFON",
        "authorized_official_first_name": "TYSHARRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-412-1150",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.