CCRM FLORIDA LLC NPI 1306589809

NPI Information

  • NPI: 1306589809
  • Provider Name: CCRM FLORIDA LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2267774
  • Address: 19505 BISCAYNE BLVD
    MIAMI, FL
    ZIP 33180
  • Phone: (303) 885-5762

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NPI Details

CCRM FLORIDA LLC is an ambulatory surgical clinic center in Miami, FL. CCRM FLORIDA LLC NPI is 1306589809. The provider is registered as an organization entity type.
The provider .

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 Diane Ravech .
The authorized official title is Chief Managed Care Officer and has the following contact phone number (860) 305-6640.

The CLIA number assigned to this NPI record is 10D2267774 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 4/24/2025.

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
1261QA0006XClinic/CenterAmbulatory Fertility FacilityNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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