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

NPI Status: Active since September 02, 2024

Contact Information

3200 SW 60TH CT STE 104
MIAMI, FL
ZIP 33155
Phone: (305) 669-6448

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Urology
Pediatric Urology
Accepts Insurance
CLIA Number: 10D2251857
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-06-2028

About SOUTH FLORIDA PEDIATRIC UROLOGY LLP

This page provides the complete NPI Profile along with additional information for South Florida Pediatric Urology Llp, a provider established in Miami, Florida operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1891529715 assigned on September 2024. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Desiree N Moure (Practice Administrator)

NPI: 1891529715
Provider Name: SOUTH FLORIDA PEDIATRIC UROLOGY LLP
Entity Type: Organization
Location Address: 3200 SW 60TH CT STE 104 MIAMI, FL 33155
Location Phone: (305) 669-6448
Mailing Address: 3200 SW 60TH CT STE 104 MIAMI, FL 33155
Mailing Phone: (305) 669-6448
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-02-2024
Last Update Date: 09-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Urology Pediatric Urology
Taxonomy Code: 2088P0231X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

AvMed

AvMed Entrust Bronze 600 (2026) - HMO
AvMed Entrust Bronze 650 (2026) - HMO
AvMed Entrust Expanded Bronze Standard (2026) - HMO
AvMed Entrust Gold 125 (2026) - HMO
AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
AvMed Entrust Gold Standard (2026) - HMO
AvMed Entrust Platinum 25 (2026) - HMO
AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
AvMed Entrust Platinum Standard (2026) - HMO
AvMed Entrust Silver 350 (2026) - HMO
AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
AvMed Entrust Silver 550 (2026) - HMO
AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
AvMed Entrust Silver Standard (2026) - HMO

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
BlueOptions Bronze 24J01-06 (Rewards) - PPO
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
BlueCare Bronze 24K01-05 (Rewards) - POS
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
BlueCare Bronze 24K02-18 (Rewards) - POS
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

Molina Healthcare

Molina Bronze Enhanced 3500 - HMO
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
Molina Bronze Premier with $0 Medical Deductible - HMO
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
Molina Bronze Standard - HMO
Molina Gold Core 1640 - HMO
Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Molina Gold Core 1640 Plus with Adult Vision - HMO
Molina Gold Enhanced 895 - HMO
Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
Molina Gold Enhanced 895 Plus with Adult Vision - HMO
Molina Gold Standard - HMO
Molina Silver Access - HMO
Molina Silver Access Plus with Adult Dental and Vision - HMO
Molina Silver Access Plus with Adult Vision - HMO
Molina Silver Core - HMO
Molina Silver Core Plus with Adult Dental and Vision - HMO
Molina Silver Core Plus with Adult Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. DESIREE N MOURE
Authorized Official Title: PRACTICE ADMINISTRATOR
Authorized Official Phone: (305) 669-6448

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D2251857
Facility Type: Physician Office
Certificate Effective Date: February 07, 2026
Certificate Expiration Date: February 06, 2028
Laboratory Director: ANDREW LABBIE
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to South Florida Pediatric Urology Llp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891529715, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 0 + 2 + 1 + 8 + 7 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1891529715.