# SOUTHWEST TEAM CORP

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

## Provider details

- **NPI number:** 1366868010
- **Authorized official:** JOEL MARTINEZ MSBA (CEO/PRES)
- **Authorized official phone:** (786) 970-0573

## Contact information

- **Practice address:** 10300 SW 72ND AVE, SUITE 470B, MIAMI, FL 33156-3107
- **Practice address phone:** (786) 970-0573
- **Mailing address:** 10300 SW 72ND AVE, SUITE 470B, MIAMI, FL 33156-3107
- **Mailing address phone:** (786) 970-0573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0050518 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2014
- **Last updated:** 03/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | SWTEAM970 | OBAMACARE INSURANCES | FL |