SOUTH FLORIDA PHYSICIAN NETWORK, LLC


Address: 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468
Phone: 3057902527

SOUTH FLORIDA PHYSICIAN NETWORK, LLC (NPI# 1730780362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730780362
Entity Type Organization
Organization Name SOUTH FLORIDA PHYSICIAN NETWORK, LLC
Practice Address 5000 Sw 75th Ave Ste 202
Miami
FL 33155-4468
Practice Telephone 3057902527
Mailing Telephone 3057902527
Enumeration Date 2020-11-02
Last Update Date 2020-11-02
Authorized Official Name MR. NICHOLAS R VALVERDE (CEO)
Authorized Official Telephone 3057902527
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 5000 SW 75TH AVE STE 202
City MIAMI
State FL
Zip Code 33155-4468

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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City MIAMI
Zip Code 33155

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Dataset Information

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.

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