MEDICARE: SOUTH MIAMI MEDICAL BILLING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1023105285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH MIAMI MEDICAL BILLING, INC.

Provider Business Mailing Address
First Line	:	13727 SW 152ND ST
Second Line	:	STE 223
City	:	MIAMI
State	:	FL
Zip	:	33177-1106
Country	:	US
Telephone Number	:	305-300-5407
Fax Number	:

Provider Business Practice Location Address
First Line	:	13727 SW 152ND ST
Second Line	:	STE 223
City	:	MIAMI
State	:	FL
Zip	:	33177-1106
Country	:	US
Telephone Number	:	305-300-5407
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LOIDA GONZALEZ
Credential	:
Telephone Number	:	305-300-5407

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	08/22/2020

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