OrganizationActive
Southgate Medical of Florida, Inc.
NPI 1154477214 · Parenteral & Enteral Nutrition Supplies (DME) · Miami, FL
Provider details
- NPI number
- 1154477214
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Richard Stacey, Vice-President(305) 926-0960
- License
- 976 (FL)
Specialties & taxonomies
Suppliers
Practice location
899 Nw 4th St
Miami, FL 33128-1309
Phone: (305) 926-0960
Fax: (305) 326-1647
Approximate (ZIP-level) locationGet directions
Mailing address
899 Nw 4th St
Miami, FL 33128-1309
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.