CONTINUCARE MEDICAL MANAGEMENT, INC. (NPI# 1093733701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093733701 |
| Entity Type | Organization |
| Organization Name | CONTINUCARE MEDICAL MANAGEMENT, INC. |
| Other Organization Name | CONTINUCARE MEDICAL CENTER |
| Practice Address |
21507 Village Lakes Shopping Ctr Dr Land O Lakes FL 34639-5101 |
| Mailing Address |
6101 Blue Lagoon Dr Suite 400 Miami FL 33126-2055 |
| Practice Telephone | 8139494224 |
| Practice Fax Number | 8139492809 |
| Mailing Telephone | 3055002114 |
| Mailing Fax Number | 3053706024 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | GEMMA ROSELLO (VICE PRESIDENT) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HCC 5452 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001887104 | 05 |
| Other Name | Type Code |
|---|---|
| Continucare Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497774400 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 11000 Sw 211 St, Miami, FL 33189-2804 | 2006-07-19 |
| 1396763934 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 200 S Macdill Ave, Suite 100, Tampa, FL 33609-3131 | 2006-07-18 |
| 1336166859 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 7495 N University Dr, Tamarac, FL 33321-2971 | 2006-07-17 |
| 1902824691 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 7101 W Mcnab Rd, Tamarac, FL 33321-5351 | 2006-07-18 |
| 1114945086 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 2900 N University Dr, Sunrise, FL 33322-1645 | 2006-07-18 |
| 1770501488 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 228 W Alexander St, Plant City, FL 33563-7157 | 2006-07-18 |
| 1225056187 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 18853 Sw 117th Ave, Miami, FL 33177-3250 | 2006-07-18 |
| 1518985969 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 460 N University Dr, Pembroke Pines, FL 33024-6720 | 2006-07-17 |
| 1093733487 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 6971 W Sunrise Blvd, Suite 201, Plantation, FL 33313-4407 | 2006-07-17 |
| 1043238496 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 5643 Nw 29th St, Margate, FL 33063-1531 | 2006-07-17 |
| Street Address |
21507 VILLAGE LAKES SHOPPING CTR DR |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34639-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326543810 | Barbara A. Palmer | Nurse Practitioner | 21507 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639-5101 | 2018-03-27 |
| 1306387204 | Blanca Quintanilla | Nurse Practitioner | 21507 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639-5101 | 2017-03-13 |
| 1780926055 | Continucare Medical Center | Non-Pharmacy Dispensing Site | 21507 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639-5101 | 2013-03-25 |
| 1730497447 | Jelexza Janira Velez Gaetan | Family Medicine | 21507 Village Lakes Shopping Ctr Dr, Land O Lakes, FL 34639-5101 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730640962 | Destiny Marie Gaines | Counselor | 22703 Chesterview Loop Apt.211, Land O Lakes, FL 34639 | 2019-03-29 |
| 1720544380 | Central Florida Dermatology Institute, Pllc | Dermatology | 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 | 2019-02-19 |
| 1073932174 | Erika Schaefer Meier | Nurse Practitioner | 2061 Collier Parkway, Land O Lakes, FL 34639 | 2014-04-16 |
| 1548526924 | George Alan Brant | Dermatology | 5450 Land O' Lakes Blvd, Land O' Lakes, FL 34639 | 2012-04-10 |
| 1679848956 | Floirda Medical Clinic Aco, LLC | Clinic/Center | 2150 Via Bella Blvd., Land O Lakes, FL 34639 | 2012-03-20 |
| 1336452408 | Jennifer T Gardner | Counselor | 5402 Swallow Dr, Land O Lakes, FL 34639 | 2010-07-19 |
| 1104094515 | Angela Claire Marina | Occupational Therapy Assistant | 7227 Land O Lakes Boulevard, Land O Lakes, FL 34639 | 2008-02-19 |
| 1154521151 | Kelly John Mulroy | Counselor | 3632 Land O'lakes Blvd, Suite 106, Land O'lakes, FL 34639 | 2007-07-19 |
| 1225248610 | Sandra J Aljure Estrada Dds Pa | Dentist | 21533 Villages Lakes Shopping Center, Land O Lakes, FL 34639 | 2007-05-23 |
| 1124233523 | Antionette Elizabeth Welch | Nurse Practitioner | 2121 Collier Parkway, The Little Clinic, Land O' Lakes, FL 34639 | 2007-05-11 |
| Find all providers in zip 34639 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34639 |
Please comment or provide details below to improve the information on CONTINUCARE MEDICAL MANAGEMENT, INC..
| 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.