Healthcare Provider Details

I. General information

NPI: 1568926327
Provider Name (Legal Business Name): SOUTHWEST MEDICAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7480 FAIRWAY DR STE 106
MIAMI LAKES FL
33014-6879
US

IV. Provider business mailing address

7480 FAIRWAY DR STE 106
MIAMI LAKES FL
33014-6879
US

V. Phone/Fax

Practice location:
  • Phone: 786-339-5074
  • Fax:
Mailing address:
  • Phone: 786-339-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FELIX ALEJANDRO RAMIREZ-LABRADA
Title or Position: PRESIDENT
Credential: MD
Phone: 786-339-5074