Healthcare Provider Details

I. General information

NPI: 1447162508
Provider Name (Legal Business Name): SMK HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 SW 124TH AVE STE 203A
MIAMI FL
33183-4633
US

IV. Provider business mailing address

8501 SW 124TH AVE STE 203A
MIAMI FL
33183-4633
US

V. Phone/Fax

Practice location:
  • Phone: 305-910-0037
  • Fax: 305-396-9660
Mailing address:
  • Phone: 305-910-0037
  • Fax: 305-396-9660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN KHORIATY
Title or Position: CEO
Credential:
Phone: 305-910-0037