SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
NPI 1629789417
Clinic/Center - Multi-Specialty in Homestead, FL

Active since December 12, 2022
1036 NW 1ST AVE, HOMESTEAD, FL 33030(833) 735-3668(866) 897-7014 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Florida Multi-specialty Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC (NPI 1629789417) is a healthcare organization registered as a multi-specialty in Homestead, Florida and active in the NPI registry since December 2022. The organization lists Peter H Hanna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629789417
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
Location Address1036 NW 1ST AVEHomestead, FL 33030-4417
Mailing Address8950 Sw 74th Ct Ste 1408Miami, FL 33156-3173 · (833) 735-3668 · Fax (866) 897-7014
Fax(866) 897-7014
Organization SubpartNo
Authorized OfficialPeter H HannaCeo · (833) 735-3668
Enumeration DateDecember 12, 2022
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
NPI 1629789417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
1036 NW 1ST AVE, Homestead, FL 33030

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Durable Medical Equipment & Medical Supplies
1036 NW 1ST AVE
HOMESTEAD, FL 33030
Radiology (Radiation Oncology)
1036 NW 1ST AVE
HOMESTEAD, FL 33030
Radiology (Radiation Oncology)
1036 NW 1ST AVE
HOMESTEAD, FL 33030
Dermatology
1036 NW 1ST AVE
HOMESTEAD, FL 33030
Podiatrist (Foot & Ankle Surgery)
1036 NW 1ST AVE
HOMESTEAD, FL 33030

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 South Florida Multi-Specialty Medical Group LLC's NPI number?

The NPI number for South Florida Multi-Specialty Medical Group LLC is 1629789417. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is South Florida Multi-Specialty Medical Group LLC located?

South Florida Multi-Specialty Medical Group LLC is located at 1036 NW 1st Ave, Homestead, FL 33030. The listed phone number is (833) 735-3668.

What is South Florida Multi-Specialty Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for South Florida Multi-Specialty Medical Group LLC was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.