Healthcare Provider Details

I. General information

NPI: 1215826599
Provider Name (Legal Business Name): PHYSICIANS ASSOCIATES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 SW 1ST STREET
MIAMI FL
33130
US

IV. Provider business mailing address

9100 S DADELAND BLVD STE 1400
MIAMI FL
33156-7816
US

V. Phone/Fax

Practice location:
  • Phone: 305-545-9292
  • Fax: 305-545-9259
Mailing address:
  • Phone: 305-614-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DAIMILSIS SALGADO
Title or Position: DIRECTOR OF PROVIDER RELATIONS
Credential:
Phone: 305-614-7740