Organization
SOUTH FLORIDA MED GROUP , LLC
Active
Organization
SOUTH FLORIDA MED GROUP , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CABRERA (OFFICE MANAGER)
(786) 860-8844
Entity
Organization
Contact information
Practice address
16969 NW 67TH AVE STE 205, HIALEAH, FL 33015-4294
(786) 860-8844
Mailing address
16969 NW 67TH AVE STE 205, HIALEAH, FL 33015-4294
(786) 860-8844
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/16/2023
Last updated
08/27/2024
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