# SOUTHSIDE OB-GYN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southside OB-GYN, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427322882
- **Authorized official:** EDY AMISIAL MD (MD)
- **Authorized official phone:** (786) 657-2269

## Contact information

- **Practice address:** 6464 N MIAMI AVE, MIAMI, FL 33150-4520
- **Practice address phone:** (786) 657-2269
- **Practice address fax:** (786) 955-6972
- **Mailing address:** 6464 N MIAMI AVE, MIAMI, FL 33150-4520
- **Mailing address phone:** (786) 657-2269
- **Mailing address fax:** (786) 955-6972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME108552 | FL | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 11/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004060500 | — | FL |