Provider Demographics
NPI:1518019991
Name:SOUTH MIAMI HEALTH CENTER
Entity Type:Organization
Organization Name:SOUTH MIAMI HEALTH CENTER
Other - Org Name:SOUTH MIAMI HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALEGCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-661-5309
Mailing Address - Street 1:7600 RED ROAD
Mailing Address - Street 2:#124
Mailing Address - City:S MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-661-5309
Mailing Address - Fax:305-284-1264
Practice Address - Street 1:7600 S RED RD
Practice Address - Street 2:#124
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-661-5309
Practice Address - Fax:305-284-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty