SOUTH FLORIDA PREVENTIVE CARE GROUP
NPI 1366878829
Nurse Practitioner - Adult Health in Hialeah, FL
Active since September 16, 2013
About South Florida Preventive Care Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH FLORIDA PREVENTIVE CARE GROUP (NPI 1366878829) is a healthcare organization registered as an adult health in Hialeah, Florida and active in the NPI registry since September 2013. The organization lists Deisy Diaz-prieto, Dnp, as its authorized official.
NPPES Registry Identity
NPI1366878829
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSOUTH FLORIDA PREVENTIVE CARE GROUP
Location Address19015 NW 80TH CTHialeah, FL 33015-5210
Mailing Address19015 Nw 80th CtHialeah, FL 33015-5210 · (305) 934-7076
Phone(305) 934-7076
Organization SubpartNo
Authorized OfficialDeisy Diaz-prietoDnp · (305) 934-7076
Enumeration DateSeptember 16, 2013
✔ NPI 1366878829 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP9179779
19015 NW 80TH CT, Hialeah, FL 33015
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366878829, enumerated as an "organization" on September 16, 2013.
The provider is located at 19015 NW 80TH CT HIALEAH, FL 33015 and the phone number is (305) 934-7076.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
