Provider Demographics
NPI:1720578917
Name:SOUTH MIAMI HOSPITAL, INC
Entity Type:Organization
Organization Name:SOUTH MIAMI HOSPITAL, INC
Other - Org Name:BAPTIST HEALTH URGENT CARE MIAMI BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANICHFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-669-2833
Mailing Address - Street 1:6855 RED ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3632
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:786-533-9403
Practice Address - Street 1:709 ALTON ROAD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:786-662-7980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH MIAMI HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-14
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site