Provider Demographics
NPI:1073846887
Name:SOUTH FLORIDA MEDICAL PROFESSIONALS LLC
Entity Type:Organization
Organization Name:SOUTH FLORIDA MEDICAL PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:ZAMORA
Authorized Official - Last Name:COZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-924-2370
Mailing Address - Street 1:485 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PAHOKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33476-2405
Mailing Address - Country:US
Mailing Address - Phone:561-924-2370
Mailing Address - Fax:561-924-2371
Practice Address - Street 1:485 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-2405
Practice Address - Country:US
Practice Address - Phone:561-924-2370
Practice Address - Fax:561-924-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty