Provider Demographics
NPI:1225350440
Name:SOUTH BEST CARE CENTER INC.
Entity Type:Organization
Organization Name:SOUTH BEST CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:305-456-4138
Mailing Address - Street 1:9600 SW 8TH ST
Mailing Address - Street 2:SUITE #38
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2900
Mailing Address - Country:US
Mailing Address - Phone:305-456-4137
Mailing Address - Fax:305-456-4138
Practice Address - Street 1:9600 SW 8TH ST
Practice Address - Street 2:SUITE #38
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:305-456-4137
Practice Address - Fax:305-456-4138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50169261QH0100X
FLMM24395261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service