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CCRM FLORIDA LLC NPI 1487396107


NPI Information

NPI: 1487396107
Provider Name: CCRM FLORIDA LLC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

Address:
19505 BISCAYNE BLVD
MIAMI, FL
ZIP 33180
Phone: (303) 885-5762
Get Directions

CCRM FLORIDA LLC is a reproductive endocrinology obstetrics gynecology in Miami, FL. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. CCRM FLORIDA LLC NPI is 1487396107. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19505 BISCAYNE BLVD
MIAMI, FL
ZIP 33180-314
Phone: (303) 885-5762

The provider's authorized official is Jon Pardew .
The authorized official title is Ceo and has the following contact phone number (303) 885-5762.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.