# SOUTH MIAMI MEDICAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184931172
- **Authorized official:** MRS. DIOSCORIDA ACOSTA (CEO)
- **Authorized official phone:** (786) 326-4707

## Contact information

- **Practice address:** 2550 NW 72ND AVE, SUTE 208, MIAMI, FL 33122-1350
- **Practice address phone:** (305) 592-1573
- **Practice address fax:** (305) 597-1530
- **Mailing address:** 2550 NW 72ND AVE, SUTE 208, MIAMI, FL 33122-1350
- **Mailing address phone:** (305) 592-1573
- **Mailing address fax:** (305) 597-1530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2010
- **Last updated:** 09/12/2010