South Florida Elite MD Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME100918 Issued in FL

Legal business name

SOUTH FLORIDA ELITE MD GROUP, INC.

Practice address

1861 NW 123Rd Ave
Pembroke Pines, FL 33026-3825

Phone

(954) 513-3311

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Norberto Pedroso, MD

Title

President

Phone

(954) 513-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norberto Jesus Pedroso Montesino, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1538378880
  NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831611003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "954-513-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263825",
            "telephone_number": "954-513-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA ELITE MD GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEDROSO",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-513-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Cardiology Associates LLC
• South Florida Cardiology Consultants PA
• South Florida Community Health Centers, Inc.
• South Florida Doctors Group, PLLC
• South Florida Doctors Group, PLLC
• South Florida Endocrinology Associates PA
• South Florida Kidney Associates PA
• South Florida Nephrology Consultants PL
• South Florida Nutrition Consultants LLC
• South Florida Occupational Medical Center

• Family Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jul 21, 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.