MCCI GROUP HOLDINGS LLC (NPI# 1053884957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053884957 |
| Entity Type | Organization |
| Organization Name | MCCI GROUP HOLDINGS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
9030 Kimberly Blvd Boca Raton FL 33434-2823 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 5614882300 |
| Practice Fax Number | 5614876704 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | GEMMA ROSELLO (OFFICER) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCI GROUP HOLDINGS LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905004 | Mcci Group Holdings LLC | Family Medicine | 551856 Us Highway, Suite 108, Hilliard, FL 32046 | 2019-01-04 |
| 1770056673 | Mcci Group Holdings LLC | Internal Medicine | 5317 W Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 | 2019-01-03 |
| 1184197097 | Mcci Group Holdings LLC | Family Medicine | 5350 W Atlantic Ave Ste 100, Delray Beach, FL 33484-8112 | 2019-01-03 |
| 1083187827 | Mcci Group Holdings LLC | Family Medicine | 463646 Sr 200 West, Suite 12, Yulee, FL 32097 | 2019-01-04 |
| 1629541537 | Mcci Group Holdings LLC | Internal Medicine | 9121 N Military Trl Ste 111, Palm Beach Gardens, FL 33410-5985 | 2019-01-03 |
| 1932672748 | Mcci Group Holdings LLC | Internal Medicine | 7200 Normandy Blvd Ste 20, Jacksonville, FL 32205-6271 | 2019-01-03 |
| 1649743451 | Mcci Group Holdings LLC | Family Medicine | 25 University Blvd N, Jacksonville, FL 32211-7550 | 2019-01-03 |
| 1770056681 | Mcci Group Holdings LLC | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2019-01-03 |
| 1700359619 | Mcci Group Holdings LLC | Internal Medicine | 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 | 2019-01-03 |
| 1518430420 | Mcci Group Holdings LLC | Family Medicine | 11744 Beach Blvd Ste 107, Jacksonville, FL 32246-8476 | 2019-01-03 |
| Street Address |
9030 KIMBERLY BLVD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33434-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033188214 | Hal Scott Bendit | Family Medicine | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2006-03-17 |
| 1891259966 | Rma Medical Centers of Florida LLC | Internal Medicine | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2019-01-23 |
| 1467839498 | Iliana Ivis Rodriguez | Internal Medicine | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2015-04-28 |
| 1477824332 | Noelle Stewart | Internal Medicine | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2012-01-24 |
| 1427364082 | Rosemarie Williams | Licensed Practical Nurse | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2010-08-20 |
| 1952616377 | Patrick J. Lemur | Licensed Practical Nurse | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2010-08-10 |
| 1730404146 | Leavitt Medical Associates of Florida Inc | Dermatology | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2010-03-30 |
| 1447574462 | Kimberly Bisogno | Nurse Practitioner | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2010-03-19 |
| 1700056272 | Todd J Rouse | Physician Assistant | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2008-03-11 |
| 1982623856 | Pilar White | Internal Medicine | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943771 | Solutionist Counseling Services, LLC | Clinic/Center | 9250 West Glades Rd Suite 209, Boca Raton, FL 33434 | 2019-10-14 |
| 1962932582 | Karelys Hernandez | Developmental Therapist | 9293 Southampton Pl, Boca Raton, FL 33434 | 2017-06-15 |
| 1568996007 | Aurelie Huyghues-despointes | Dentist | 3003 W Yamato Rd Ste C5, Boca Raton, FL 33434 | 2017-04-11 |
| 1700334240 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 20555 Boca Rio Road, Unit 1604, Boca Raton, FL 33434 | 2016-09-13 |
| 1952858342 | Melissa Kornhaus | Counselor | 7777 Glades Rd Ste 205, Boca Raton, FL 33434 | 2016-09-02 |
| 1023491800 | D. One Pharmacy Corp. | Pharmacy | 9070 Kimberly Blvd., Ste 27, Boca Raton, FL 33434 | 2015-06-30 |
| 1053707604 | Izdean Mufleh | Internal Medicine | 8903 Glades Rd Ste K1a, Boca Raton, FL 33434 | 2015-04-10 |
| 1437435310 | Tahmineh Hojjat | Pharmacist | 9851 West Glades Road, Boca Raton, FL 33434 | 2011-10-24 |
| 1962783191 | Sharon Sokolow | Nutritionist | 9033 Glades Rd., Boca Raton, FL 33434 | 2011-09-01 |
| 1093014714 | Sandra Jean Donovan Monteagudo | Hearing Instrument Specialist | 8903 Glades Rd., Suite A-15, Boca Raton, FL 33434 | 2011-03-21 |
| Find all providers in zip 33434 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1942823711 | Hope Medical Pa | Internal Medicine | 11419 W Palmetto Park Rd, Unit 97081, Boca Raton, FL 33497-2501 | 2020-05-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1033644182 | Royal Family Medicine Inc | Internal Medicine | 3886 Candlewood Blvd, Boca Raton, FL 33487-1261 | 2017-04-26 |
| 1144777954 | Acts Signature Community Services, Inc. | Internal Medicine | 6152 North Verde Trail, Boca Raton, FL 33433-2430 | 2016-09-09 |
| 1801343827 | Mwh Medical Consulting, LLC | Internal Medicine | 804 Bridgewood Pl, Boca Raton, FL 33434-4157 | 2016-09-07 |
| 1174978308 | Mdvip Medical Group Ct LLC | Internal Medicine | 4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307 | 2016-04-25 |
| 1437512159 | Areeba Awan | Internal Medicine | 670 Glades Road, Suite 400, Florida Atlantic University Medicine At Boca Raton, Boca Raton, FL 33431-5035 | 2016-03-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33434 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.