Southside Ob-Gyn, Pllc

LBN: Southside Ob-Gyn Pllc
Southside Ob-Gyn, Pllc is an health care organization with primary practice located at 1380 Ne Miami Gardens Dr Ste 140B , North Miami Beach FL 33179-4744. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Southside Ob-Gyn Pllc can be contacted via phone (786) 657-2269, or through Amisial, Edy via phone (786) 657-2269.

Contact Information

Primary practice address
1380 Ne Miami Gardens Dr Ste 140B North Miami Beach FL 33179-4744
Phone: (786) 657-2269
Fax: (786) 955-6972
Website:
Map and Directions
Authorized official contact:
Name: Amisial, Edy Doctor of Medicine (MD)
Phone: (786) 657-2269

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME108552 Florida

Profile Details

NPI number 1427322882
LBN Legal business name Southside Ob-Gyn Pllc
DBA Doing business as Southside Ob-Gyn, Pllc
Authorized official Amisial, Edy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2012
Last updated Jun 20th, 2024 - about 5 months 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 1427322882 NPPES
Florida MEDICAID 004060500

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