Provider Demographics
NPI:1720288848
Name:HOSPITALISTS OF SOUTH BROWARD LLC
Entity Type:Organization
Organization Name:HOSPITALISTS OF SOUTH BROWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-447-4150
Mailing Address - Street 1:2121 PONCE DE LEON BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5224
Mailing Address - Country:US
Mailing Address - Phone:305-447-4150
Mailing Address - Fax:305-446-0706
Practice Address - Street 1:2121 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5224
Practice Address - Country:US
Practice Address - Phone:305-447-4150
Practice Address - Fax:305-446-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty