Healthcare Provider Details

I. General information

NPI: 1629515010
Provider Name (Legal Business Name): SUNSOUTH HEALTH CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14255 SW 42ND ST UNIT 13-A
MIAMI FL
33175-6408
US

IV. Provider business mailing address

14255 SW 42ND ST UNIT 13-A
MIAMI FL
33175-6408
US

V. Phone/Fax

Practice location:
  • Phone: 305-306-3400
  • Fax: 305-402-2800
Mailing address:
  • Phone: 305-306-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PARIKSITH SINGH
Title or Position: MD
Credential: MD
Phone: 352-277-5305