MEDICARE: SOUTH FLORIDA MEDICAL CENTERS, 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		FL

General Provider Information

NPI Number	:	1134338593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA MEDICAL CENTERS, INC

Provider Business Mailing Address
First Line	:	2100 45TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	561-844-4353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 45TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2016
Country	:	US
Telephone Number	:	561-844-4353
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	JIMI ADETULA
Credential	:
Telephone Number	:	954-472-2999

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	06/20/2008

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