# PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC

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

## Provider details

- **NPI number:** 1689807653
- **Authorized official:** DR. RAUL IGNACIO TANO M.D. (PRESIDENT)
- **Authorized official phone:** (305) 649-3260

## Contact information

- **Practice address:** 1455 SW 27TH AVE, MIAMI, FL 33145-1234
- **Practice address phone:** (305) 649-3260
- **Practice address fax:** (305) 649-3261
- **Mailing address:** 1455 SW 27TH AVE, MIAMI, FL 33145-1234
- **Mailing address phone:** (305) 649-3260
- **Mailing address fax:** (305) 649-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | ME46299 | FL | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009