Organization
SOUTH MIAMI HOSPITALIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. HOLTZCLAW M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
11750 BIRD ROAD, MIAMI, FL 33175
(305) 223-8000
Mailing address
14050 NW 14TH STREET, SUITE 190, SUNRISE, FL 33323
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97466
BLUE SHIELD
FL
Enumeration date
09/28/2006
Last updated
11/02/2007
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