Healthcare Provider Details

I. General information

NPI: 1245089101
Provider Name (Legal Business Name): SOUTH FLORIDA RESEARCH ORGANIZATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7911 NW 72ND AVE STE 114
MEDLEY FL
33166-2221
US

IV. Provider business mailing address

7911 NW 72ND AVE STE 114
MEDLEY FL
33166-2221
US

V. Phone/Fax

Practice location:
  • Phone: 786-409-7699
  • Fax:
Mailing address:
  • Phone: 786-409-7699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: NAIVIL LOPEZ
Title or Position: OWNER
Credential:
Phone: 786-409-7699