CCG OF SOUTH FLORIDA LLC (NPI# 1497034086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497034086 |
| Entity Type | Organization |
| Organization Name | CCG OF SOUTH FLORIDA LLC |
| Practice Address |
2901 Coral Hills Dr Suite 360 Coral Springs FL 33065-4146 |
| Practice Telephone | 9542557310 |
| Practice Fax Number | 9542557311 |
| Mailing Telephone | 9542557310 |
| Mailing Fax Number | 9542557311 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Authorized Official Name | MARIO B PEREIRA (PRESIDENT) |
| Authorized Official Telephone | 9542557310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2901 CORAL HILLS DR SUITE 360 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680502 | Heart Care of South Florida Pa | Internal Medicine | 2901 Coral Hills Dr, Suite 240, Coral Springs, FL 33065-4146 | 2005-09-27 |
| 1629513981 | Maria Calzadilla | Nurse Practitioner | 2901 Coral Hills Dr, Suite 370, Coral Springs, FL 33065-4146 | 2016-12-22 |
| 1437496296 | Cesil Keshishian | Pharmacist | 2901 Coral Hills Dr, Suite 120, Coral Springs, FL 33065-4146 | 2013-01-13 |
| 1477890721 | Vijaya L Babu Md Pa | Obstetrics & Gynecology | 2901 Coral Hills Dr, Suite 350, Coral Springs, FL 33065-4146 | 2013-01-07 |
| 1558618488 | Adult & Geriatric Center of South Florida, LLC | Family Medicine | 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146 | 2012-08-09 |
| 1255699336 | Steven Greenberg, M.d.,pa. | Specialist | 2901 Coral Hills Dr, Suite 300, Coral Springs, FL 33065-4146 | 2012-04-26 |
| 1750670139 | John Edward Bell, D.o., P.a. | Physical Medicine & Rehabilitation | 2901 Coral Hills Dr, Suite 250, Coral Springs, FL 33065-4146 | 2011-04-06 |
| 1265749659 | Xochil Echeona | Clinical Nurse Specialist | 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146 | 2010-09-07 |
| 1548411457 | Simon Chi-hin Wong | Internal Medicine | 2901 Coral Hills Dr, Suite 250, Coral Springs, FL 33065-4146 | 2008-10-09 |
| 1124292669 | Dr Arthur B Korbel Inc | Podiatrist | 2901 Coral Hills Dr, Suite 220, Coral Springs, FL 33065-4146 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179883 | Centrum Medical Holdings, LLC | Internal Medicine | 1801 N University Dr Ste 101, Coral Springs, FL 33071-6003 | 2020-09-22 |
| 1831689512 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 8880 Royal Palm Blvd Ste 105, Coral Springs, FL 33065-5727 | 2018-05-17 |
| 1629509591 | Ronald Pham | Internal Medicine | 8190 Royal Palm Blvd Ste 100, Coral Springs, FL 33065-5706 | 2017-03-22 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| 1164859070 | Doctor On Wheels Pllc | Internal Medicine | 5645 Coral Ridge Drive, Suite 142, Coral Springs, FL 33076 | 2013-10-09 |
| 1235495300 | Karen Adriana Lovera | Internal Medicine | 8327 West Atlantic Blvd, Healthcare Partners of South Florida, Coral Springs, FL 33071-6220 | 2012-04-03 |
| 1205157187 | Senior Care Medical Ctr | Internal Medicine | 9750 Nw 33rd Street, Suite # 212, Coral Springs, FL 33065-4042 | 2010-06-15 |
| 1598085797 | Canyon Gate Medical Group LLC | Internal Medicine | 2929 N. University Dr., Suite # 110, Coral Springs, FL 33065-5081 | 2010-06-10 |
| 1083858930 | Shawnette Simone Saddler | Internal Medicine | 9750 Nw 33rd St Ste 202, Coral Springs, FL 33065-4081 | 2009-04-22 |
| 1497920474 | Silvio Xavier Avilez Cerna | Internal Medicine | 6264 W Sample Rd, Coral Springs, FL 33067-3273 | 2008-04-29 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
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| 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.