COMPLETE CARE MEDICAL CENTER INC NPI 1255760252

NPI Information

NPI: 1255760252
Provider Name: COMPLETE CARE MEDICAL CENTER, INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2070150

Address:
189 N STATE ROAD 7
PLANTATION, FL
ZIP 33317
Phone: (954) 316-2442
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COMPLETE CARE MEDICAL CENTER, INC is a general practice in Plantation, FL. COMPLETE CARE MEDICAL CENTER, INC NPI is 1255760252. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

189 N STATE ROAD 7
PLANTATION, FL
ZIP 33317-100
Phone: (954) 316-2442
Fax: (954) 316-2119

The provider's authorized official is Christina Newberg .
The authorized official title is Administrator and has the following contact phone number (786) 295-3167.

The CLIA number assigned to this NPI record is 10D2070150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2013 and was last updated on 11/11/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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: 11/14/2023

NPI Synchronization or Removal

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