MEDICARE: SOUTH FLORIDA RESEARCH ORGANIZATION LLC

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	1744R1102X	Research Study Specialist

General Provider Information

NPI Number	:	1245089101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA RESEARCH ORGANIZATION LLC

Provider Business Mailing Address
First Line	:	7911 NW 72ND AVE STE 114
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33166-2221
Country	:	US
Telephone Number	:	786-409-7699
Fax Number	:

Provider Business Practice Location Address
First Line	:	7911 NW 72ND AVE STE 114
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33166-2221
Country	:	US
Telephone Number	:	786-409-7699
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAIVIL LOPEZ
Credential	:
Telephone Number	:	786-409-7699

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/15/2024

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