CLINIQUE MEDMANAGEMENT GROUP, LLC (NPI# 1063694446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063694446 |
| Entity Type | Organization |
| Organization Name | CLINIQUE MEDMANAGEMENT GROUP, LLC |
| Other Organization Name | LA CLINIQUE SOLEIL |
| Practice Address |
750 S Federal Hwy Hollywood FL 33020-5424 |
| Practice Telephone | 9543428800 |
| Mailing Telephone | 9543428800 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | SANDRO BACCHELLI JR. (M.D./OWNER) |
| Authorized Official Telephone | 9543428800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 34696 | 01 |
| Other Name | Type Code |
|---|---|
| La Clinique Soleil | Doing Business As Name - Organization |
| Street Address |
750 S FEDERAL HWY |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700093 | Miguel A De La Rua | Nurse Practitioner | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2019-09-25 |
| 1285031096 | International Patient Care, Inc | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-11-21 |
| 1821400730 | Yunior Y Silva Barrero | Social Worker | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-05-27 |
| 1831450220 | Action Physical Therapy, LLC. | Physical Therapist | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2012-06-02 |
| 1770894453 | Hollywood Medical Clinic LLC | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2010-06-28 |
| 1376862987 | Linda Jean | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2010-05-21 |
| 1871616862 | Hossein Farsad | Preventive Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-04-06 |
| 1215021944 | Leonel Martin Calderon | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-10-03 |
| 1013015213 | Linda C Barreras | Nurse Practitioner | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-09-20 |
| 1134106487 | Sandro Bacchelli | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1669931762 | Premier Healthcare Centers, LLC | Family Medicine | 9950 Stirling Rd Ste 108, Hollywood, FL 33024-8001 | 2019-03-18 |
| 1689026460 | Sanrol Medical Center Inc | Family Medicine | 7160 Stirling Rd, Hollywood, FL 33024-1650 | 2016-07-06 |
| 1366896904 | South Florida Family Medical Center, LLC. | Family Medicine | 7369 Sheridan St Ste 100, Hollywood, FL 33024 | 2016-04-20 |
| 1790032530 | Kyle Petersen | Family Medicine | 3157 N University Dr Ste 101, Hollywood, FL 33024-2258 | 2012-08-10 |
| 1184989139 | Evgeny Goldman | Family Medicine | 6100 Hollywood Blvd Ste 300, Hollywood, FL 33024-7982 | 2012-07-05 |
| 1699047654 | Gg Healthcare Pa | Family Medicine | 6241 Pembroke Rd, Hollywood, FL 33023-2215 | 2012-02-06 |
| 1285932947 | Frank C Alario Md Pl | Family Medicine | 5700 Stirling Rd Ste 100, Hollywood, FL 33021-1522 | 2011-03-04 |
| 1982835559 | Maria Strimbu | Family Medicine | 4030 Sheridan St Ste A, Hollywood, FL 33021-3564 | 2009-07-30 |
| 1396998944 | Wilson Izquierdo | Family Medicine | 2229 Sheridan St, Hollywood, FL 33020-2040 | 2008-10-28 |
| Find all providers in HOLLYWOOD | ||||
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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.