South Florida Practitioners & Associates LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTH FLORIDA PRACTITIONERS & ASSOCIATES LLC

Practice address

15600 SW 288TH St Ste 105
Homestead, FL 33033-1200

Phone

(786) 298-4573

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Adianez Garcia Aguila, FNP-BCNPI 1497479083

Title

Owner

Phone

(786) 298-4573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Adianez Garcia Aguila, FNP-BC

  • Primary Care Nurse Practitioner
  • Palm Coast, FL
  • NPI 1497479083

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1609640473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 SW 251ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325928",
            "telephone_number": "786-298-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SW 288TH ST STE 105",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331200",
            "telephone_number": "786-298-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PRACTITIONERS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA AGUILA",
        "authorized_official_first_name": "ADIANEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-298-4573",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Homestead, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.