South Florida Pediatric Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME98844 Issued in FL

Legal business name

SOUTH FLORIDA PEDIATRIC GROUP, INC.

Practice address

8300 W Flagler St
Suite# 258a
Miami, FL 33144-6000

Phone

(305) 965-9236

NPI assigned

Jul 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judith Valencia, M.D.

Title

President

Phone

(305) 965-9236

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Florida Pediatric Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Florida Pediatric Group Inc

  • Pediatrics Physician
  • Miami, FL
  • NPI 1821279357
  NPD tax ID

Locations

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972701639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442751",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331447751",
            "telephone_number": "305-965-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W FLAGLER ST",
            "address_2": "SUITE# 258A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331446000",
            "telephone_number": "305-965-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PEDIATRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-965-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME98844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME98844",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Occupational Medical Center
• South Florida Occupational Medical Center
• South Florida Orthopaedic & Knee Institute
• South Florida Pain & Rehabilitation of West Dade LLC
• South Florida Pediatric Group Inc
• South Florida Pediatric Urology LLP
• South Florida Physiatry LLC
• South Florida Physician Network, LLC
• South Florida Physician Specialists LLC
• South Florida Physicians Associates

• Pediatrics Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.