South Beach Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH BEACH MEDICAL ASSOCIATES, LLC

Practice address

2100 SE Ocean Blvd Ste 200B
Stuart, FL 34996-3332

Phone

(772) 252-5265

Fax

(772) 874-3115

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nevine N Mahmoud, MDNPI 1265608038

Title

Medical Director

Phone

(772) 874-3365

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, and the practitioner matching its NPPES authorized official.

• Nevine Mahmoud, MD, MS, MS

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1265608038

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1730943614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-252-5265",
            "fax_number": "772-874-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD STE 200B",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-252-5265",
            "fax_number": "772-874-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEACH MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "NEVINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-874-3365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Soter, DNP, APRN, AGPCNP-C
• Jorge Soto-Miranda, DC
• Roberto Victor Sotullo II
• Leslie Soulek, MSW
• Sandra June Sousa, RBT
• South Beach Orthotics & Prosthetics, LLC
• South Florida Breast Specialists PLLC (Denise Sanderson MD PLLC)
• South Florida Orthopaedics & Sports Medicine
• South Florida Orthopaedics & Sports Medicine, PA
• South Florida Orthopaedics & Sports Medicine, PA

• Family Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.