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Organization
MDS OF SOUTH FLORIDA, LLC
Active
Organization
MDS OF SOUTH FLORIDA, LLC
Active
Parent organization
PRIMEHEALTH PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMEHEALTH PHYSICIANS LLC
Authorized official
LISA SOSA (CREDENTIALING COORDINATOR)
(305) 549-8937
Entity
Organization
Contact information
Practice address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
Mailing address
9045 SW 87TH CT, MIAMI, FL 33176-2304
(305) 598-7715
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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