Healthcare Provider Details

I. General information

NPI: 1982688230
Provider Name (Legal Business Name): SOUTH MIAMI HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

6855 RED RD STE 500
CORAL GABLES FL
33143-3623
US

V. Phone/Fax

Practice location:
  • Phone: 786-662-4000
  • Fax:
Mailing address:
  • Phone: 786-662-7980
  • Fax: 786-533-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4033
License Number StateFL

VIII. Authorized Official

Name: WILLIAM DUQUETTE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 786-662-7111