# SOUTH FLORIDA MED GROUP , LLC

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

## Provider details

- **NPI number:** 1841975984
- **Authorized official:** DANIEL CABRERA (OFFICE MANAGER)
- **Authorized official phone:** (786) 860-8844

## Contact information

- **Practice address:** 16969 NW 67TH AVE STE 205, HIALEAH, FL 33015-4294
- **Practice address phone:** (786) 860-8844
- **Mailing address:** 16969 NW 67TH AVE STE 205, HIALEAH, FL 33015-4294
- **Mailing address phone:** (786) 860-8844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/16/2023
- **Last updated:** 08/27/2024