Caremax Medical Center Of Broward LLC
Clinic/Center, Primary Care in Plantation, FL. Organization (NPI-2).
NPI number1871937987
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1871937987
- Entity type
- Organization (NPI-2)
- Legal business name
- Caremax Medical Center Of Broward LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2013
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 305S00000X | Point of Service | – | – |
Practice location
4302 W Broward BlvdPlantation, FL 33317-3780
Phone 954-644-8902 · Fax 877-967-5710
Mailing address
1000 Nw 57th Ct Ste 400Miami, FL 33126-3292
Phone 305-649-8100
Other practice locations
Authorized official
Carlos De Solo
Chief Executive Officer
3056498100
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