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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTH DADE PRIMARY CARE, LLC

Deactivated Organization

SOUTH DADE PRIMARY CARE, LLC is a Family Medicine organization located in PALMETTO BAY, Florida. NPI 1285748285 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · PALMETTO BAY, FL

This NPI has been deactivated. The record was deactivated on April 26, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1285748285
Provider Type
Organization
NPI Issued
Aug 18, 2006 (16.687671232877 yrs)
Last Updated
Aug 27, 2025
Deactivated
Apr 26, 2023
Licenses
ME0027176 (FL)
ME0092409 (FL)
ME0016658 (FL)

Practice Information

Address
9835 E HIBISCUS ST
PALMETTO BAY, FL, 331575406
Browse FL providers · Browse ZIP 33157
Phone
3052388561
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in PALMETTO BAY, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.