MEDICARE: PRIMARY CARE PHYSICIANS OF SOUTH FLORIDA

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1912740440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY CARE PHYSICIANS OF SOUTH FLORIDA

Provider Business Mailing Address
First Line	:	8356 SW 40TH ST STE ABC
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3356
Country	:	US
Telephone Number	:	305-727-2020
Fax Number	:	305-808-3094

Provider Business Practice Location Address
First Line	:	8356 SW 40TH ST STE ABC
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-3356
Country	:	US
Telephone Number	:	786-633-4373
Fax Number	:	305-808-3094

Authorized Official
Title or Position	:	CEO
Name	:	OSCAR J DOMINGUEZ
Credential	:	MD
Telephone Number	:	786-633-4373

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	01/28/2026

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