Healthcare Provider Details

I. General information

NPI: 1851408256
Provider Name (Legal Business Name): SOUTH FLORIDA PEDIATRICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5590 W 20TH AVE SUITE 300
HIALEAH FL
33016-7061
US

IV. Provider business mailing address

5590 W 20TH AVE SUITE 300
HIALEAH FL
33016-7061
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-3388
  • Fax: 305-821-3116
Mailing address:
  • Phone: 305-821-3388
  • Fax: 305-821-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME55642
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME55642
License Number StateFL

VIII. Authorized Official

Name: ROBERTO URIEL
Title or Position: PRESIDENT SOUTH FLORIDA PEDIATRICS
Credential: MD
Phone: 305-821-3388