Organization · NPI-2

Caremax Medical Centers Of Central Florida LLC

Clinic/Center · Melbourne, FL

NPI number1396456893
StatusActive
Last updated in NPPESAug 13, 2024

Details

NPI
1396456893
Entity type
Organization (NPI-2)
Legal business name
Caremax Medical Centers Of Central Florida LLC
Organization subpart
Yes
Enumeration date
Dec 6, 2022
Certification date
Aug 13, 2024
Last updated
Aug 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

7970 N Wickham Rd Ste 101
Melbourne, FL 32940-8299

Phone 321-414-0125

Mailing address

1000 Nw 57th Ct Ste 400
Miami, FL 33126-3292

Phone 305-649-8100

Authorized official

Carlos De Solo
Chief Executive Officer
3056498100

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