SOUTHERN MEDICAL GROUP LLC
NPI 1053883546
Physical Medicine & Rehabilitation in Mesa, AZ
About Southern Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN MEDICAL GROUP LLC (NPI 1053883546) is a healthcare organization registered as a physical medicine & rehabilitation in Mesa, Arizona and active in the NPI registry since December 2018. The organization lists Derek Paul Pruni, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
MESA, AZ 85206
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Medical Group LLC's NPI number?
The NPI number for Southern Medical Group LLC is 1053883546. It was assigned to this organization in the NPPES registry on December 20, 2018.
Where is Southern Medical Group LLC located?
Southern Medical Group LLC is located at 5233 E Southern Ave Ste 103, Mesa, AZ 85206. The listed phone number is (480) 830-2882.
What is Southern Medical Group LLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Southern Medical Group LLC was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.