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Organization

SOUTHSIDE OB-GYN PLLC

Active
Other names
Southside OB-GYN, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
EDY AMISIAL MD (MD)
(786) 657-2269
Entity
Organization

Contact information

Practice address
6464 N MIAMI AVE, MIAMI, FL 33150-4520
(786) 657-2269
(786) 955-6972
Mailing address
6464 N MIAMI AVE, MIAMI, FL 33150-4520
(786) 657-2269
(786) 955-6972

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME108552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004060500
FL
Enumeration date
03/02/2012
Last updated
11/24/2025
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