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INNOVATIVE CARE INC NPI 1417169210


NPI Information

NPI: 1417169210
Provider Name: INNOVATIVE CARE INC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 10D1103555

Address:
12600 PEMBROKE RD
SUITE 100
MIRAMAR, FL
ZIP 33027
Phone: (954) 432-5400
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INNOVATIVE CARE INC is a geriatric medicine internal medicine in Miramar, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. INNOVATIVE CARE INC NPI is 1417169210. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12600 PEMBROKE RD
SUITE 100
MIRAMAR, FL
ZIP 33027-544
Phone: (954) 432-5400
Fax: (877) 671-4101

The provider's authorized official is Gokhan Guvenli .
The authorized official title is Medical Director and has the following contact phone number (954) 450-9595.

The CLIA number assigned to this NPI record is 10D1103555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 7/21/2022.


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
1207Q00000XFamily MedicineOS10374FLORIDANo
2207RG0300XInternal MedicineGeriatric MedicineME53538FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BF602OTHERFLORIDAGROUP MEDICARE #
2BW654ZOTHERFLORIDADR. MARTINEZ MEDICARE
3CA283WOTHERFLORIDADR. GUVENLI MEDICARE

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

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