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EXECUTIVE HEALTH OF SOUTH FLORIDA, LLC
NPI 1881534675
Internal Medicine in South Miami, FL

Active since March 31, 2026
7800 SW 57TH AVE STE 106, SOUTH MIAMI, FL 33143(305) 476-7771(305) 442-0121 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Executive Health Of South Florida, Llc NPPES

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

EXECUTIVE HEALTH OF SOUTH FLORIDA, LLC (NPI 1881534675) is a healthcare organization registered as an internal medicine in South Miami, Florida and active in the NPI registry since March 2026. The organization lists Manuel Jesus Diaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1881534675
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEXECUTIVE HEALTH OF SOUTH FLORIDA, LLC
Location Address7800 SW 57TH AVE STE 106South Miami, FL 33143-5551
Mailing Address4131 Laguna St Apt 610Coral Gables, FL 33146-1489 · (305) 476-7771 · Fax (305) 442-0121
Phone(305) 476-7771
Fax(305) 442-0121
Organization SubpartNo
Authorized OfficialManuel Jesus DiazOwner · (305) 476-7771
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1881534675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7800 SW 57TH AVE STE 106, South Miami, FL 33143
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Executive Health Of South Florida, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Executive Health Of South Florida, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Manuel Diaz, MD
Internal Medicine
NPI 1689659062
7800 SW 57TH AVE STE 106
South Miami, FL 33143
(305) 476-7771
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Executive Health Of South Florida, LLC's NPI number?

The NPI number for Executive Health Of South Florida, LLC is 1881534675. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Executive Health Of South Florida, LLC located?

Executive Health Of South Florida, LLC is located at 7800 SW 57th Ave Ste 106, South Miami, FL 33143. The listed phone number is (305) 476-7771.

What is Executive Health Of South Florida, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Executive Health Of South Florida, LLC enrolled in Medicare?

Yes. Executive Health Of South Florida, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Executive Health Of South Florida, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Executive Health Of South Florida, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Executive Health Of South Florida, LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.