Sunsouth Health Centers South Florida, LLC
General Practice in Miami, FL. Organization (NPI-2).
NPI number1114585643
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1114585643
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunsouth Health Centers South Florida, LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2019
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1901 Nw 17th AveMiami, FL 33125-1513
Phone 305-925-0009 · Fax 305-697-0009
Mailing address
14255 Sw 42nd StMiami, FL 33175-6408
Phone 305-306-3400
Authorized official
Carlos Arias
Ceo
4075581872
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