South Florida Med Group , LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTH FLORIDA MED GROUP , LLC

Practice address

16969 NW 67TH Ave Ste 205
Hialeah, FL 33015-4294

Phone

(786) 860-8844

NPI assigned

Jun 16, 2023

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Cabrera

Title

Office Manager

Phone

(786) 860-8844

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Gladys Amador, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1114491941
  Medicare reassignment NPD
• Stephanie Martha Cabrera, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
  • NPI 1063982528

  Multi-Specialty

  Medicare reassignment NPD
• Philip Wasef

  • Psychiatry Physician
  • San Bernardino, CA
  • NPI 1952729543

  FL, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1841975984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16969 NW 67TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154294",
            "telephone_number": "786-860-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16969 NW 67TH AVE STE 205",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154294",
            "telephone_number": "786-860-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA MED GROUP , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-860-8844"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Eye Care
• South Florida Health Centers Inc
• South Florida Home Care Group Corp
• South Florida Internal Medicine
• South Florida Internal Medicine Group, LLC
• South Florida Obstetrics & Gynecology, LLC
• South Florida Occupational Medical Center
• South Florida Outpatient Surgery Inc
• South Florida Pain & Rehabilitation of Hialeah LLC
• South Florida Pat Network Inc

• Multi-Specialty Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.