CAREVANTAGE MEDICAL HOLDING NPI 1326592486

NPI Information

NPI: 1326592486
Provider Name: CAREVANTAGE MEDICAL HOLDING
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2058104

Address:
4445 W 16TH AVE
SUITE 501
HIALEAH, FL
ZIP 33012
Phone: (305) 558-8687
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CAREVANTAGE MEDICAL HOLDING is a general practice in Hialeah, FL. CAREVANTAGE MEDICAL HOLDING NPI is 1326592486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4445 W 16TH AVE
SUITE 501
HIALEAH, FL
ZIP 33012-189
Phone: (305) 558-8687

The provider's authorized official is Alberto Lamadrid .
The authorized official title is President and has the following contact phone number (786) 691-1110.

The CLIA number assigned to this NPI record is 10D2058104 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2016 and was last updated on 8/6/2016.

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			FLORIDA	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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