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General NPI Number Information
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NPI Number | 1235974916
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Entity Type | Organization
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Legal Business Name | SOUTH HEALTH LLC
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Dates
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Enumeration Date | 06/26/2024
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5068 ANNUNCIATION CIR UNIT 111
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City | AVE MARIA
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State | FL
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Zip | 34142-9668
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Country | US
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Telephone | 239-867-4395
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Fax | 844-735-8444
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Provider Business Mailing Address
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Address Line | 5068 ANNUNCIATION CIR UNIT 111
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City | AVE MARIA
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State | FL
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Zip | 34142-9668
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Country | US
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Telephone | 239-867-4395
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Fax | 844-735-8444
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Authorized Official
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Title or Position | OWNER
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Name | ERWING XAVIER MARTINEZ
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Credential |
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Telephone | 305-418-0580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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