SOUTH DADE PRIMARY CARE, LLC – Non-Pharmacy Dispensing Site, NPI 1467003889

SOUTH DADE PRIMARY CARE, LLC is a healthcare provider. based in Miami, Florida. specializing in Non-Pharmacy Dispensing Site. The NPI Number for SOUTH DADE PRIMARY CARE, LLC is 1467003889

Main info

Organization
Name
SOUTH DADE PRIMARY CARE, LLC
NPI
1467003889
Phone
(786) 245-6039
Address
13550 SW 120TH ST STE 502
Authorized Official
MARK L MULLINIX CHIEF EXECUTIVE OFFICER
Enumeration Date
26 September 2019
Last Update Date
11 May 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTH DADE PRIMARY CARE, LLC

  • Southwest 120th Street, Miami-Dade County, Florida, United States

    MIAMI, FL 331867505

    Phone: (786) 245-6039

    Type: Mailing

  • 14750 NW 77TH CT STE 100

    MIAMI LAKES, FL 330161507

    Phone: (786) 758-3165

    Type: Mailing

  • Southwest 74th Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331435150

    Phone: (305) 666-8691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33186)

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Reviews

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Frequently asked questions

What federal number belongs to SOUTH DADE PRIMARY CARE, LLC?
The federal identifier for SOUTH DADE PRIMARY CARE, LLC is NPI 1467003889.
Is SOUTH DADE PRIMARY CARE, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SOUTH DADE PRIMARY CARE, LLC?
The page reflects Non-Pharmacy Dispensing Site for SOUTH DADE PRIMARY CARE, LLC. Clinical services aligned with this taxonomy classification.
What location shows for SOUTH DADE PRIMARY CARE, LLC?
We surface Miami, Florida for SOUTH DADE PRIMARY CARE, LLC based on available NPPES addresses.
Is SOUTH DADE PRIMARY CARE, LLC a real provider?
This page reflects official NPPES data for NPI 1467003889. Always confirm identity and privileges with the practice and licensing boards.

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