Physician Partners of South Florida, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PHYSICIAN PARTNERS OF SOUTH FLORIDA, LLC

Practice address

901 Ponce de Leon Blvd Ste 303
Coral Gables, FL 33134-3059

Phone

(305) 448-7437

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Luis Antonio Vazquez, PRESIDENT

Title

President

Phone

(305) 448-7437

Specialties & licenses 1

Addresses

Other names 1

• PHYSICIAN PARTNERS OF SOUTH FLORIDA, LLC Former legal business name

Locations

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1841821592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PONCE DE LEON BLVD STE 303",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343059",
            "telephone_number": "305-448-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PONCE DE LEON BLVD STE 303",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343059",
            "telephone_number": "305-448-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-448-7437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIAN PARTNERS OF SOUTH FLORIDA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tenisha Pettus, MS, LMFT
• Lashaunda Pham
• Physiatry Phirst LLC
• Physical Therapy and Wellness Center
• Physician Choice Home Health Agency Inc
• Physicians to Children, LLC
• Physiocore Fitness & Rehab., Inc.
• Leslie Pichardo Saucedo
• Rebecca Pickard, MS
• Danet Pico-Larralde, M.D.

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.