| South Florida Elite Md Group, Inc. | |
|
1861 Nw 123rd Ave Pembroke Pines FL 33026-3825 | |
| (954) 513-3311 | |
| Not Available |
| Full Name | South Florida Elite Md Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1861 Nw 123rd Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Norberto Pedroso (PRESIDENT) |
| Authorized Official Contact | 9545133311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Elite Md Group, Inc. 1861 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (954) 513-3311 | South Florida Elite Md Group, Inc. 1861 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (954) 513-3311 |
| NPI Number | 1831611003 |
|---|---|
| Provider Enumeration Date | 07/10/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831611003 | NPI | - | NPPES |
| NA | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME100918 (Florida) | Primary |
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