Organization Active NPI

South Florida Clinic

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1649425786
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC7080 Issued in FL
Legal business name
SOUTH FLORIDA CLINIC
Practice address
913B SW 87TH Ave
Miami, FL 33174-3206
Phone
(305) 267-9680
Fax
(305) 267-9681
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Abel Fleitas
Title
Owner
Phone
(305) 267-9680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC7080 FL Primary

Addresses

Primary practice location

913B SW 87TH Ave
Miami, FL 33174-3206

Mailing address

913B SW 87TH Ave
Miami, FL 33174-3206
Phone (305) 267-9680

National Provider Directory

National Provider Directory
Tax ID family
South Florida Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1649425786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913B SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-267-9680",
            "fax_number": "305-267-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913B SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331743206",
            "telephone_number": "305-267-9680",
            "fax_number": "305-267-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-267-9680"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.