| South Florida Multi-specialty Medical Group Llc | |
|
475 Biltmore Way Ste 205, Coral Gables, FL 33134-5736 | |
| (833) 735-3668 | |
| (866) 897-7014 |
| Full Name | South Florida Multi-specialty Medical Group Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 475 Biltmore Way Ste 205, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982204616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Peter H Hanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023465903 PECOS PAC ID: 0840554507 Enrollment ID: I20180503002361 |
| Provider Name | Yelliann Ruiz Irizarry |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083846893 PECOS PAC ID: 9335491729 Enrollment ID: I20181012002041 |
| Provider Name | Luis Hernandez Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144527466 PECOS PAC ID: 9830340645 Enrollment ID: I20181116001546 |
| Provider Name | Siavash Rostami |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083145650 PECOS PAC ID: 7719319383 Enrollment ID: I20191203000622 |
| Provider Name | Paul Hanna |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558734038 PECOS PAC ID: 4981084621 Enrollment ID: I20220712001066 |
| Provider Name | Daniel Morton Ginsberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841873320 PECOS PAC ID: 1052795234 Enrollment ID: I20220907002947 |
| Provider Name | Ormelvis Urra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295496099 PECOS PAC ID: 7911365218 Enrollment ID: I20230619001269 |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Multi-specialty Medical Group Llc 8950 Sw 74th Ct Ste 1408, Miami, FL 33156-3173 Ph: (833) 735-3668 | South Florida Multi-specialty Medical Group Llc 475 Biltmore Way Ste 205, Coral Gables, FL 33134-5736 Ph: (833) 735-3668 |