Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Id Professionals of South Florida LLC

Organization Infectious Disease Physician · NPI 1174560619

Id Professionals of South Florida LLC is an Infectious Disease Physician in Hialeah, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1790 W 49th St Ste 400-9
Hialeah, FL 33012-2992
Phone: (305) 698-5997
Fax: (305) 698-5998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence ME75291 (FL)

Record details

NPI number1174560619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Lopez — President · (954) 495-5102
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 22, 2009
Mailing addressPo Box 371082, Miami, FL 33137-1082

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