CAC- FLORIDA MEDICAL CENTERS LLC (NPI# 1982922795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982922795 |
| Entity Type | Organization |
| Organization Name | CAC- FLORIDA MEDICAL CENTERS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
15516 Sw 88th Street Miami FL 33196 |
| Mailing Address |
6101 Blue Lagoon Dr. Suite 400 Miami FL 33012-2051 |
| Practice Telephone | 3052222000 |
| Practice Fax Number | 3055535952 |
| Mailing Telephone | 3055002000 |
| Mailing Fax Number | 3053706024 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2020-01-22 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HCC4955 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035234 | Cac- Florida Medical Centers LLC | Clinic/Center | 1602 N.e. 163 Street, North Miami Beach, FL 33162 | 2017-07-10 |
| 1396167540 | Cac- Florida Medical Centers LLC | Clinic/Center | 10463 Sw 40th St, Miami, FL 33165-3753 | 2014-01-07 |
| 1285975649 | Cac- Florida Medical Centers LLC | Clinic/Center | 8326 N Florida Ave, Tampa, FL 33604-3006 | 2013-03-11 |
| 1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
| 1831526706 | Cac- Florida Medical Centers LLC | Clinic/Center | 18380 Nw 7th Ave, Miami, FL 33169-4410 | 2013-10-08 |
| 1124450382 | Cac- Florida Medical Centers LLC | Clinic/Center | 12905 Sw 42nd St, Suite 103, Miami, FL 33175-2905 | 2013-07-30 |
| 1801174099 | Cac- Florida Medical Centers LLC | Clinic/Center | 3185 W Vine St, Kissimmee, FL 34741-3738 | 2011-07-22 |
| 1487972147 | Cac- Florida Medical Centers LLC | Clinic/Center | 522 East 25th Street, Hialeah, FL 33013-3917 | 2010-05-05 |
| 1447578257 | Cac- Florida Medical Centers LLC | Clinic/Center | 4410 W 16th Ave, Hialeah, FL 33012-7100 | 2010-05-04 |
| 1063730877 | Cac- Florida Medical Centers LLC | Clinic/Center | 650 N Homestead Blvd, Homestead, FL 33030-6210 | 2010-05-04 |
| Street Address |
15516 SW 88TH STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367825 | Lian Linares Izquierdo | Behavior Technician | 11571 Sw 110th Ter, Miami, FL 33196 | 2020-08-18 |
| 1780208827 | Ohama Fuster | Assistant Behavior Analyst | 15560sw 111ter., Miami, FL 33196 | 2020-06-04 |
| 1346870516 | Belkis Leonor Rodriguez | Assistant Behavior Analyst | 9798 Sw 147 Pl, Miami, FL 33196 | 2020-01-16 |
| 1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
| 1457824823 | Kelsie Marie Riveron | Student in an Organized Health Care Education/Training Program | 16461 Sw 99 St, Miami, FL 33196 | 2019-01-08 |
| 1629545330 | Irene Roldan | Nurse Practitioner | 15971 Sw 138 Ter, Miami, FL 33196 | 2018-10-31 |
| 1114414240 | Daniel Gil De Lamadrid | Student in an Organized Health Care Education/Training Program | 15955 Sw 96 Street, Suite 200, Miami, FL 33196 | 2018-04-14 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1174027247 | Juntos Behavioral & Mental Benefits Corp. | Behavioral Analyst | 9532 Sw 167th Ave, Miami, FL 33196 | 2018-03-22 |
| 1487165239 | Medhealth Billing Services LLC | Contractor | 14790 N Kendall Dr. #961595, Miami, FL 33196 | 2017-10-19 |
| Find all providers in zip 33196 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1326673013 | Prestige Healthcare Group | Clinic/Center | 1800 Sw 1st St Ste 320, Miami, FL 33135-1964 | 2020-03-03 |
| 1952933939 | La O Community Health, Inc | Clinic/Center | 7392 Nw 35th Ter Ste 309, Miami, FL 33122-1260 | 2020-02-07 |
| 1164061255 | Bladez Medical Center Inc | Clinic/Center | 8420 W Flagler St Ste 224, Miami, FL 33144-2046 | 2020-01-06 |
| 1720629900 | Soma Health and Wellness Center, Inc | Clinic/Center | 11010 Sw 88th St Ste 104, Miami, FL 33176-1205 | 2019-09-30 |
| 1992202758 | Elitemd Inc | Clinic/Center | 2960 Ne 207th St Unit 1108, Miami, FL 33180-1455 | 2018-04-09 |
| 1902312754 | Clinica Las Mercedes II, Inc | Clinic/Center | 9853 Sw 40 Street, Miami, FL 33165 | 2017-12-15 |
| 1164962197 | Healthworks Med Group of Florida P A | Clinic/Center | 6505 Blue Lagoon Dr, 2nd Floor, Miami, FL 33126-6009 | 2017-02-23 |
| Find all providers in MIAMI | ||||
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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.