Provider Demographics
NPI:1790335628
Name:SOUTH MIAMI HOSPITAL, INC
Entity Type:Organization
Organization Name:SOUTH MIAMI HOSPITAL, INC
Other - Org Name:BAPTIST HEALT URGENT CARE AT UNIVERSITY CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANICHFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-2833
Mailing Address - Street 1:6855 S RED RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1240 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2902
Practice Address - Country:US
Practice Address - Phone:786-467-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH MIAMI HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site