South Dade Opco Llc

Specialty details in registry · Miami, FL

Call (305) 255-1045 Directions

At a glance

17475 S Dixie Hwy, Miami, FL 33157-5434

NPPES record updated Apr 29, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

17475 S Dixie Hwy
Miami, FL 33157-5434

Professional details: NPI, taxonomy & registry record

NPI1245703792

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 314000000X
Enumeration date: Jan 8, 2019
Record updated: Apr 29, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

314000000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

17475 S Dixie Hwy
Miami, FL 33157-5434

Phone: (305) 255-1045

Mailing address

945 BROADWAY

WOODMERE, NY 115981733

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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