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

Southeast Physician Associates 1, LLC

Organization Exclusive Provider Organization · NPI 1912435264

Southeast Physician Associates 1, LLC is an Exclusive Provider Organization in Miami, Florida. Registered with an NPI since 2017.

In the registry since
2017
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

10621 N Kendall Dr Ste 211
Miami, FL 33176-1530
Phone: (305) 596-4288
Fax: (305) 596-6378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1912435264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rene Gomez — Ceo · (305) 596-4288
NPI enumeratedMay 31, 2017
Last updated in NPPESJuly 21, 2022
Mailing address10621 N Kendall Dr Ste 211, Miami, FL 33176-1530

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