| NPI | 1053077305 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-11-11 |
| Last Updated | 2021-11-11 |
| Authorized Official | Aurelio Torres Consuegra Owner Phone: 9544420784 |
| Mailing Address | 18503 Pines Blvd Ste 306 Pembroke Pines, FL 33029-1406 United States Phone: (954) 442-0784 | Fax: (855) 840-7185 📍 View Map |
| Primary Practice Address | 1779 N University Dr Ste 102 Pembroke Pines, FL 33024-0929 United States Phone: (954) 885-6565 | Fax: (888) 727-7735 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 023419701 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | - | - |
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About NPI 1053077305
South Florida Doctors Group, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053077305. The primary specialty listed is Internal Medicine. The organization is located in Pembroke Pines, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-11-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053077305?
NPI 1053077305 belongs to South Florida Doctors Group, Pllc, a Internal Medicine in Pembroke Pines, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053077305 active?
The current status of NPI 1053077305 in the NPPES registry is Active. The record was last updated on 2021-11-11.
What specialty is NPI 1053077305?
NPI 1053077305 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053077305?
You can verify NPI 1053077305 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053077305?
The primary practice address on file for NPI 1053077305 is 1779 N University Dr Ste 102, Pembroke Pines, FL 33024-0929. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053077305 issued?
NPI 1053077305 was first issued (enumerated) on 2021-11-11. The NPPES record was last updated on 2021-11-11.
Practice Location Map
South Florida Doctors Group, Pllc is located at 1779 N University Dr Ste 102, Pembroke Pines, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as South Florida Doctors Group, Pllc. All records sourced from the CMS NPPES registry.