Organization Active NPI

South Florida Physician Network, LLC

  • Exclusive Provider Organization
  • Miami, FL
National Provider Identifier
1730780362
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SOUTH FLORIDA PHYSICIAN NETWORK, LLC
Practice address
5000 SW 75TH Ave Ste 202
Miami, FL 33155-4468
Phone
(305) 790-2527
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mr. Nicholas R Valverde
Title
Ceo
Phone
(305) 790-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

5000 SW 75TH Ave Ste 202
Miami, FL 33155-4468

Mailing address

5000 SW 75TH Ave Ste 202
Miami, FL 33155-4468
Phone (305) 790-2527

National Provider Directory

National Provider Directory

Locations

5000 SW 75th Ave
Ste 202
Miami, FL 33155
Phone (305) 790-2527

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1730780362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SW 75TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554468",
            "telephone_number": "305-790-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SW 75TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554468",
            "telephone_number": "305-790-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "VALVERDE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-790-2527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "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 2, 2020; 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.