Organization
SOUTH FLORIDA CRITICAL CARE SERVICES LLC
Active
Organization
SOUTH FLORIDA CRITICAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PORTILLO M.D. (PRESIDENT)
(305) 281-9398
Entity
Organization
Contact information
Practice address
8370 W FLAGLER ST STE 226, MIAMI, FL 33144-2040
(305) 928-7249
(305) 630-3632
Mailing address
PO BOX 282070, TAMPA, FL 33630-2070
(305) 928-7249
(305) 630-3632
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024311500
—
FL
Enumeration date
01/22/2018
Last updated
06/26/2024
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