Organization
SOUTH MIAMI CRITICARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TOLLIVER (VP)
(786) 662-5252
Entity
Organization
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(305) 665-4614
Mailing address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-5252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255056300
—
FL
Enumeration date
07/07/2006
Last updated
03/15/2021
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