Organization Active NPI

Southern Medical Supply USA Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1700874195
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHERN MEDICAL SUPPLY USA INC
Practice address
1873 W Flagler St
Suite 6
Miami, FL 33135-1976
Phone
(305) 649-7850
Fax
(305) 649-0202
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mr. Antonio Garcia
Title
Owner
Phone
(305) 649-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1873 W Flagler St
Suite 6
Miami, FL 33135-1976

Mailing address

1873 W Flagler St
Suite 6
Miami, FL 33135-1976
Phone (305) 649-7850

Other identifiers 1

IdentifierTypeStateIssuer
HCC4597OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1700874195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 W FLAGLER ST",
            "address_2": "SUITE 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351976",
            "telephone_number": "305-649-7850",
            "fax_number": "305-649-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 W FLAGLER ST",
            "address_2": "SUITE 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351976",
            "telephone_number": "305-649-7850",
            "fax_number": "305-649-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL SUPPLY USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-649-7850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC4597",
            "state": "FL"
        }
    ],
    "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 Aug 19, 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.