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Organization

SOUTH HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERWING XAVIER MARTINEZ (OWNER)
(305) 418-0580
Entity
Organization

Contact information

Practice address
5068 ANNUNCIATION CIR UNIT 111, AVE MARIA, FL 34142-9668
(239) 867-4395
(844) 735-8444
Mailing address
5068 ANNUNCIATION CIR UNIT 111, AVE MARIA, FL 34142-9668
(239) 867-4395
(844) 735-8444

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
2080P0205X
Pediatric Endocrinology Physician
Primary
2080P0214X
Pediatric Pulmonology Physician
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
06/26/2024
Last updated
11/25/2025
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