NPI 1467003889
South Dade Primary Care, LLC
Practice location
- Address
- 5901 SW 74th St STE 205, South Miami, FL 33143-5150
- Phone
- (305) 666-8691
- Mailing address
- 14750 NW 77th CT STE 100, Miami Lakes, FL 33016-1507
Authorised official
- Name
- Mark L Mullinix
- Title
- Chief Executive Officer
- Phone
- (786) 758-3135
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1467003889
- Entity type
- Organization
- NPI issued
- 26 Sep 2019
- Record last updated
- 11 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.