Medical Group At South Miami Inc

LBN: Medical Group At South Miami Inc
Medical Group At South Miami Inc is an health care organization with primary practice located at 6701 Sunset Dr 212, South Miami FL 33143-4529. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Medical Group At South Miami Inc can be contacted via phone (305) 663-0710, or through Roca, Alejandro Octavio via phone (305) 663-0710.

Contact Information

Primary practice address
6701 Sunset Dr 212 South Miami FL 33143-4529
Fax: (305) 665-3051
Website:
Authorized official contact:
Name: Roca, Alejandro Octavio Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME62402 Florida

Profile Details

NPI number 1619086410
LBN Legal business name Medical Group At South Miami Inc
DBA Doing business as
Authorized official Roca, Alejandro Octavio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 24th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619086410 NPPES
Florida MEDICAID 268288500

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