MEDICARE: UMPA OF SOUTH FLORIDA 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1093580490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UMPA OF SOUTH FLORIDA INC

Provider Business Mailing Address
First Line	:	2209 N UNIVERSITY DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3611
Country	:	US
Telephone Number	:	954-674-2455
Fax Number	:	954-674-2459

Provider Business Practice Location Address
First Line	:	2209 N UNIVERSITY DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3611
Country	:	US
Telephone Number	:	954-674-2455
Fax Number	:	954-674-2459

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT R ENGLISH
Credential	:	MD
Telephone Number	:	954-674-2455

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	11/16/2023

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Directions to “UMPA OF SOUTH FLORIDA INC ” Practice Location

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