CAREMAX MEDICAL CENTER OF HOMESTEAD LLC NPI 1497034920

NPI Information

NPI: 1497034920
Provider Name: CAREMAX MEDICAL CENTER OF HOMESTEAD, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2052899

Address:
833 N HOMESTEAD BLVD
HOMESTEAD, FL
ZIP 33030
Phone: (305) 245-3247
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CAREMAX MEDICAL CENTER OF HOMESTEAD, LLC is a primary care clinic center in Homestead, FL. CAREMAX MEDICAL CENTER OF HOMESTEAD, LLC NPI is 1497034920. The provider is registered as an organization entity type.

The provider's business location address is:

833 N HOMESTEAD BLVD
HOMESTEAD, FL
ZIP 33030-024
Phone: (305) 245-3247

The provider's authorized official is Alberto De Solo .
The authorized official title is Cco and has the following contact phone number (786) 200-8305.

The CLIA number assigned to this NPI record is 10D2052899 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 3/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	302R00000X	Health Maintenance Organization				No
2	261QP2300X	Clinic/Center	Primary Care			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: 5/5/2024

NPI Synchronization or Removal

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