CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC (NPI# 1063548287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063548287 |
| Entity Type | Organization |
| Organization Name | CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC |
| Other Organization Name | CARE LEVEL MANAGEMENT |
| Practice Address |
1958 Dairy Rd Melbourne FL 32904-4045 |
| Mailing Address |
5700 Canoga Ave Suite 500 Woodland Hills CA 91367-6579 |
| Practice Telephone | 8005305441 |
| Practice Fax Number | 8185958206 |
| Mailing Telephone | 8003773606 |
| Mailing Fax Number | 8185958206 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD ST.ANDREW (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8003773606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Care Level Management | Doing Business As Name - Organization |
| Street Address |
1958 DAIRY RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886320 | Gary C Dana | Family Medicine | 1958 Dairy Rd, Melbourne, FL 32904-4045 | 2005-10-26 |
| 1477850998 | Lori Nalven | Registered Nurse | 1958 Dairy Rd, Melbourne, FL 32904-4045 | 2011-02-18 |
| 1861584609 | Marquita M. Fuchs | Nurse Practitioner | 1958 Dairy Rd, Melbourne, FL 32904-4045 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836361 | Space Coast Health Care Network | General Practice | 1344 S Apollo Blvd Ste 303, Melbourne, FL 32901-3185 | 2018-10-08 |
| 1750899837 | Nu-me Medical Clinic Inc | General Practice | 3150 N Wickham Rd Ste 9, Melbourne, FL 32935-2322 | 2018-01-11 |
| 1629520606 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2016-10-26 |
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1275008716 | Central Florida Wellness LLC | General Practice | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901-2633 | 2018-10-11 |
| 1356883771 | Marathon Health, Inc. | General Practice | 2694 Judge Fran Jamieson Way, C/o Brevard Wellcare- Central, Melbourne, FL 32940 | 2016-11-16 |
| 1568851632 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2015-01-13 |
| 1629476098 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2014-12-16 |
| 1033456959 | Linette Cintron-medina | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-01-11 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC.
| 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.