Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTH FLORIDA PEDIATRIC UROLOGY LLP
NPI 1891529715
Urology - Pediatric Urology in Miami, FL

Active since September 02, 2024CLIA Certified · 4 labs
3100 SW 62ND AVE STE 100, MIAMI, FL 33155(305) 669-6448(833) 950-1145 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Sep 2, 2024 (2 updates tracked since 2024).

About South Florida Pediatric Urology Llp NPPES

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

SOUTH FLORIDA PEDIATRIC UROLOGY LLP (NPI 1891529715) is a healthcare organization registered as a pediatric urology in Miami, Florida and active in the NPI registry since September 2024. The organization holds 4 active CLIA laboratory certificates and lists Desiree N Moure, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1891529715
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameSOUTH FLORIDA PEDIATRIC UROLOGY LLP
Location Address3100 SW 62ND AVE STE 100Miami, FL 33155-3009
Mailing Address3100 Sw 62nd Ave Ste 100Miami, FL 33155-3009 · (305) 669-6448 · Fax (833) 950-1145
Fax(833) 950-1145
Organization SubpartNo
Authorized OfficialDesiree N MourePractice Administrator · (305) 669-6448
Enumeration DateSeptember 2, 2024
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1891529715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
3100 SW 62ND AVE STE 100, Miami, FL 33155

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Florida Pediatric Urology Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to South Florida Pediatric Urology LLP, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Urology9
Nurse Practitioner5
Clinical Social Worker1
Pediatric Medicine1

Clinicians, nearest first (16)

Urology
NPI 1659718989
3100 SW 62ND AVE
Miami, FL 33155
(786) 624-2891
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1811925548
3200 SW 60TH CT STE 104
Miami, FL 33155
(305) 669-6448
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1427462167
3200 SW 60TH CT STE 104
Miami, FL 33155
(305) 669-6448
✔ PECOS0.1 mi
Urology
NPI 1053357913
3200 SW 60TH CT STE 104
Miami, FL 33155
(305) 669-6448
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1629509385
3200 SW 60TH CT STE 104
Miami, FL 33155
(718) 283-7710
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1043029200
3200 SW 60TH CT STE SUITE104
Miami, FL 33155
(305) 669-6448
✔ PECOS0.2 mi
Urology
NPI 1013127471
3200 SW 60TH CT STE 104
Miami, FL 33155
(305) 669-6448
✔ PECOS✔ Accepts Medicare0.2 mi
Urology
NPI 1407309818
3200 SW 60TH CT STE 104
Miami, FL 33155
(305) 669-6448
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1659019479
1611 NW 12 AVENUE
Miami, FL 33136
(305) 669-6448
✔ PECOS6.3 mi
Nurse Practitioner
NPI 1124358775
700 N HIATUS RD STE 216
Pembroke Pines, FL 33026
(954) 433-5300
✔ PECOS19 mi
Urology
NPI 1780794206
10301 HAGEN RANCH RD
Boynton Beach, FL 33437
(561) 736-7313
✔ PECOS54 mi
Urology
NPI 1083026868
10301 HAGEN RANCH RD SUITE C130
Boyton Beach, FL 33437
(561) 736-7313
✔ PECOS54 mi
Nurse Practitioner
NPI 1730840018
10301 HAGEN RANCH RD STE D930
Boynton Beach, FL 33437
(561) 736-7313
✔ PECOS54 mi
Nurse Practitioner
NPI 1164496493
10301 HAGEN RANCH RD STE C130
Boynton Beach, FL 33437
(561) 736-7313
✔ PECOS54 mi
Nurse Practitioner
NPI 1639541261
210 JUPITER LAKES BLVD STE 4106A
Jupiter, FL 33458
(561) 295-4446
✔ PECOS✔ Accepts Medicare82 mi
Urology
NPI 1942418991
615 E PRINCETON ST SUITE 310
Orlando, FL 32803
(407) 303-5781
✔ PECOS✔ Accepts Medicare206 mi

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

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2251857

South Florida Pediatric Urology LLP · Miami, FL
Active · expires Feb 6, 2028
CLIA Number10D2251857
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorAndrew Labbie
Laboratory Phone(305) 669-6448
Laboratory LocationSouth Florida Pediatric Urology LLP3200 SW 60 Ct, Suite 104, Miami, FL 33155
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2171712

South Florida Pediatric Urology LLP · Miami, FL
Active · expires Sep 8, 2027
CLIA Number10D2171712
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAndrew Labbie
Laboratory Phone(305) 669-6448
Laboratory LocationSouth Florida Pediatric Urology LLP11760 Bird Road Ste 701, Miami, FL 33175
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2171720

South Florida Pediatric Urology LLP · Miami, FL
Active · expires Sep 8, 2027
CLIA Number10D2171720
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAndrew Labbie
Laboratory Phone(305) 669-6448
Laboratory LocationSouth Florida Pediatric Urology LLP16400 NW 2nd Ave, Suite 101, Miami, FL 33169
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2171725

South Florida Pediatric Urology LLP · Miramar, FL
Active · expires Sep 8, 2027
CLIA Number10D2171725
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAndrew Labbie
Laboratory Phone(305) 669-6448
Laboratory LocationSouth Florida Pediatric Urology LLP1951 SW 172nd Avenue, Ste 301, Miramar, FL 33029
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Urology LLP's NPI number?

The NPI number for South Florida Pediatric Urology LLP is 1891529715. It was assigned to this organization in the NPPES registry on September 2, 2024.

Where is South Florida Pediatric Urology LLP located?

South Florida Pediatric Urology LLP is located at 3100 SW 62nd Ave Ste 100, Miami, FL 33155. The listed phone number is (305) 669-6448.

What is South Florida Pediatric Urology LLP's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is South Florida Pediatric Urology LLP enrolled in Medicare?

Yes. South Florida Pediatric Urology LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Florida Pediatric Urology LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to South Florida Pediatric Urology LLP. 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. The largest specialties are Urology (9), Nurse Practitioner (5) and Clinical Social Worker (1). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Florida Pediatric Urology LLP hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does South Florida Pediatric Urology LLP accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list South Florida Pediatric Urology LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Florida Pediatric Urology LLP was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.