Provider Demographics
NPI:1265006936
Name:HEALTHCARE GROUP OF SOUTH FLORIDA, CORP
Entity Type:Organization
Organization Name:HEALTHCARE GROUP OF SOUTH FLORIDA, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMARILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-698-4000
Mailing Address - Street 1:14750 NW 77TH CT STE 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1507
Mailing Address - Country:US
Mailing Address - Phone:305-698-4000
Mailing Address - Fax:305-698-4014
Practice Address - Street 1:14750 NW 77TH CT STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1507
Practice Address - Country:US
Practice Address - Phone:305-698-4000
Practice Address - Fax:305-698-4014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty