Healthcare Provider Details

I. General information

NPI: 1497709000
Provider Name (Legal Business Name): SOUTH FLORIDA INTERNAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 W 49TH ST
HIALEAH FL
33012-3603
US

IV. Provider business mailing address

3191 CORAL WAY SUITE 303
CORAL GABLES FL
33145-3213
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-5000
  • Fax:
Mailing address:
  • Phone: 305-461-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0044378
License Number StateFL

VIII. Authorized Official

Name: EDUARDO J ALARCON
Title or Position: PRESIDENT
Credential: MD
Phone: 305-461-6060