South Florida Healthcare Practitioners

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH FLORIDA HEALTHCARE PRACTITIONERS

Practice address

8553 Sheraton Dr
Miramar, FL 33025-2826

Phone

(954) 732-0457

NPI assigned

Jul 4, 2019

Organization subpart

No

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

Authorized official

Name

Raul San Juan, DO

Title

Authorized Official

Phone

(954) 732-0457

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1659933182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 SHERATON DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 SHERATON DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252826",
            "telephone_number": "954-732-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA HEALTHCARE PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-04",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "SAN JUAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-732-0457",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Broward Hospital District
• South Broward Hospital District
• South Broward Pain & Rehab Center, Inc.
• South Care Home Health Corp.
• South Florida Community Key
• South Florida Premier Care LLC
• South Florida Services and Support Inc
• South Florida Speech Solutions
• South Florida Spine & Sports Specialists LLC
• South Florida Spine & Sports Specialists, LLC

• Internal Medicine Physician in Miramar, FL
• Providers in Miramar, 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 Mar 25, 2022; 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.