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

Physician Service Organization

Organization Exclusive Provider Organization · NPI 1891012472

Physician Service Organization is an Exclusive Provider Organization in Miami, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

9425 SW 72nd St Ste 211
Miami, FL 33173-3251
Phone: (305) 263-1090
Fax: (305) 263-1091
Show map & directions

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

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X (FL)

Record details

NPI number1891012472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Lago — President · (305) 263-1090
NPI enumeratedApril 22, 2010
Last updated in NPPESApril 22, 2010
Mailing address9425 Sw 72ns Street, Suite 211, Miami, FL 33173

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