SOUTH FLORIDA GROUP SERVICES LLC (NPI# 1639483449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639483449 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA GROUP SERVICES LLC |
| Practice Address |
1100 Nw 95th St Miami FL 33150-2038 |
| Mailing Address |
5665 New Northside Dr Nw Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 3058356000 |
| Mailing Telephone | 7708745439 |
| Mailing Fax Number | 7708745483 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | MR. ROGER PAUL MURRAY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000795801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690263 | South Florida Group Services LLC | Anesthesiology | 3100 S Douglas Rd, Coral Gables, FL 33134-6914 | 2009-02-02 |
| 1124265103 | South Florida Group Services LLC | Anesthesiology | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2009-01-14 |
| Street Address |
1100 NW 95TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266059 | Daysi Fardales | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2005-06-21 |
| 1215537378 | Garline Bassette | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-10-28 |
| 1285250456 | Li Zhang | Pharmacist | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-06-23 |
| 1427670397 | North Shore Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-05-13 |
| 1740801760 | Rosemanie Baptiste | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2020-04-30 |
| 1306482658 | Marlon Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-11-21 |
| 1811544331 | Yuritza Medina | Nurse Practitioner | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-08-20 |
| 1972065597 | Alice Jean-charles | Registered Nurse | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-04-02 |
| 1831663681 | Atlantic Anesthesia Group One Pllc | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2019-01-15 |
| 1265909998 | Jorge Luis Morales | Nurse Anesthetist, Certified Registered | 1100 Nw 95th St, Miami, FL 33150-2038 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487018461 | Rachel Libby | Emergency Medicine | 2965 Coconut Ave, Miami, FL 33133-3761 | 2016-04-06 |
| 1851775464 | Matthew Brooks | Emergency Medicine | 601 Ne 36th St Apt 1311, Miami, FL 33137-3951 | 2015-07-13 |
| 1861838823 | Carlos A Penaherrera | Emergency Medicine | 145 Sw 13th St, Apt 626, Miami, FL 33130-4226 | 2013-05-17 |
| 1831532480 | Steven Neil Ecker | Emergency Medicine | 10002 Sw 57th Ct, Miami, FL 33156-2000 | 2013-04-14 |
| 1851657019 | Roderick D Cousins | Emergency Medicine | 11750 Sw 40th St., Miami, FL 33175 | 2012-04-02 |
| 1508137563 | Jeffrey Bettinger | Emergency Medicine | 2000 S Bayshore Dr, Villa 45, Miami, FL 33133-3256 | 2012-01-23 |
| 1164728929 | Claire Holekamp | Emergency Medicine | 300 S Biscayne Blvd Apt 3408, Miami, FL 33131-5379 | 2011-01-26 |
| 1710290572 | Modinat Balogun | Emergency Medicine | 2020 N Bayshore Dr Apt 2205, Miami, FL 33137 | 2010-07-22 |
| 1790003051 | Suzanne Nicole Bialeck | Emergency Medicine | 13837 Sw 109th Ln, Miami, FL 33186-3269 | 2010-05-12 |
| 1427288109 | Kristine Mascarinas | Emergency Medicine | 14150 Sw 136th St, Miami, FL 33186-5506 | 2009-07-16 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.