South Florida Physician Network, LLC
Exclusive Provider Organization

Address: 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468
Phone: 3057902527

South Florida Physician Network, LLC (NPI# 1730780362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1730780362
Entity Type Organization
Practice Address 5000 Sw 75th Ave Ste 202
FL 33155-4468
Practice Telephone 3057902527
Mailing Address 5000 Sw 75th Ave Ste 202
FL 33155-4468
Mailing Telephone 3057902527
Authorized Official Name Mr. Nicholas R Valverde (CEO)
Authorized Official Telephone 3057902527
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-02
Last Update Date 2020-11-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 302F00000X Exclusive Provider Organization Managed Care Organizations

Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Office Location

Street Address 5000 SW 75TH AVE STE 202
State FL
Zip Code 33155-4468

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659987121 Blanca Argentina Torres Speech-Language Pathologist 6840 Bird Rd Unit 211a, Miami, FL 33155 2020-09-21
1245888585 Mila De La Caridad Broche Coego Behavior Technician 2247 Sw 68th Ct, Miami, FL 33155 2019-08-29
1265087878 Nancy Acela Denis Nurse Practitioner 6791 Sw 25 Terra, Miami, FL 33155 2019-08-09
1700366887 Aly Hashim Family Medicine 2805 Sw 75th Avenue, Miami, FL 33155 2018-08-17
1184115362 Ready 2 Transfer, Inc. Non-emergency Medical Transport (VAN) 7811 Sw 24 Street #120, Miami, FL 33155 2018-05-23
1053808030 Idalmis Pimentel Diez Behavior Technician 6334 Sw 30th St, Miami, FL 33155 2018-04-16
1225538689 L & L Social Services LLC Case Management 5950 Sw 40 St, Miami, FL 33155 2018-02-12
1659888915 Red Bird Dental Care Dentist 5771 Sw 40 St, Miami, FL 33155 2018-01-08
1043726474 Jesenia Rodriguez-vila Nurse Practitioner 6433 Sw 29th St, Miami, FL 33155 2017-12-21
1326553736 Believe Neuro-behavioral Services Behavior Analyst 6700 Sw 38th St, Miami, FL 33155 2017-12-07
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Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.