Provider Demographics
NPI:1013376789
Name:SOUTH FLORIDA HOSPITALIST PARTNERS PA
Entity Type:Organization
Organization Name:SOUTH FLORIDA HOSPITALIST PARTNERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:ERNESTO
Authorized Official - Last Name:JUAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:305-439-2297
Mailing Address - Street 1:6179 VIA VENETIA S
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6463
Mailing Address - Country:US
Mailing Address - Phone:305-439-2297
Mailing Address - Fax:
Practice Address - Street 1:5352 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6514
Practice Address - Country:US
Practice Address - Phone:305-439-2297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84159208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty