# MDS OF SOUTH FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMEHEALTH PHYSICIANS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740195387
- **Legal business name:** PRIMEHEALTH PHYSICIANS LLC
- **Authorized official:** LISA SOSA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (305) 549-8937

## Contact information

- **Practice address:** 9045 SW 87TH CT, MIAMI, FL 33176-2304
- **Practice address phone:** (305) 598-7715
- **Mailing address:** 9045 SW 87TH CT, MIAMI, FL 33176-2304
- **Mailing address phone:** (305) 598-7715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026