Caremax Medical Centers Of Central Florida LLC
Clinic/Center in Port St Lucie, FL. Organization (NPI-2).
NPI number1225731102
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1225731102
- Entity type
- Organization (NPI-2)
- Legal business name
- Caremax Medical Centers Of Central Florida LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 22, 2023
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
11250 Sw Village ParkwayPort St Lucie, FL 34987
Phone 772-874-3217 · Fax 772-874-3227
Mailing address
1000 Nw 57th Ct Ste 400Miami, FL 33126-3292
Phone 305-649-8100
Authorized official
Carlos De Solo
Chief Executive Officer
3056498100
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