CAC-FLORIDA MEDICAL CENTERS LLC (NPI# 1083955355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083955355 |
| Entity Type | Organization |
| Organization Name | CAC-FLORIDA MEDICAL CENTERS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
4340 W Hillsborough Ave Suite 208 Tampa FL 33614-5560 |
| Mailing Address |
8350 Nw 52 Terr Suite 301 Doral FL 33166-7811 |
| Practice Telephone | 3054636600 |
| Practice Fax Number | 3054636654 |
| Mailing Telephone | 3054636600 |
| Mailing Fax Number | 3054636654 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MR. GEMMA ROSELLO (VICE PRESIDENT) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336425180 | Cac-florida Medical Centers LLC | Clinic/Center | 5235 West Colonial Drive, Orlando, FL 32808 | 2011-10-25 |
| 1801102561 | Cac-florida Medical Centers LLC | Clinic/Center | 6269 Nw 7th Avenue, Miami, FL 33150 | 2010-08-19 |
| 1801114640 | Cac-florida Medical Centers LLC | Clinic/Center | 8686 Coral Way, Miami, FL 33155 | 2010-05-04 |
| 1437477247 | Cac-florida Medical Centers LLC | Clinic/Center | 10401 Sw 40th Street, Miami, FL 33165 | 2010-05-04 |
| 1053639864 | Cac-florida Medical Centers LLC | Clinic/Center | 1648 N.e. 163 Street, North Miami Beach, FL 33162 | 2010-05-04 |
| 1457679268 | Cac-florida Medical Centers LLC | Clinic/Center | 18623 South Dixie Hwy, Miami, FL 33157 | 2010-05-04 |
| 1689992349 | Cac-florida Medical Centers LLC | Clinic/Center | 975 W 49th St, Hialeah, FL 33012-3412 | 2010-05-05 |
| 1750609590 | Cac-florida Medical Centers LLC | Clinic/Center | 1200 Sw 1st Street, Miami, FL 33135 | 2010-05-04 |
| Street Address |
4340 W HILLSBOROUGH AVE SUITE 208 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-5560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1396351110 | Claudia B Gonzalez | Clinic/Center | 7819 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3210 | 2020-09-17 |
| 1154936904 | El Sol Medical Center Inc | Clinic/Center | 2112 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6512 | 2020-09-09 |
| 1689287351 | Tampa Bay Medical Mental & Behavioral Health Services Inc | Clinic/Center | 8910 N Dale Mabry Hwy Ste 17, Tampa, FL 33614-1580 | 2020-08-24 |
| 1801428685 | Primera Health Center Inc | Clinic/Center | 7820 N Armenia Ave Ste A, Tampa, FL 33604-3852 | 2020-02-10 |
| 1295389153 | Tampa Wellness Group LLC | Clinic/Center | 3750 Gunn Hwy Ste 200, Tampa, FL 33618-8916 | 2019-07-30 |
| 1245899954 | Pain Free Acupuncture, LLC | Clinic/Center | 14195 Bruce B Downs Blvd Ste 2, Tampa, FL 33613-3805 | 2019-06-07 |
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1952801581 | Max Health Wellness Corp | Clinic/Center | 6105 Memorial Hwy Ste S, Tampa, FL 33615-4506 | 2018-02-20 |
| 1427569920 | Undersea Oxygen Clinic LLC | Clinic/Center | 701 N West Shore Blvd Fl 3, Tampa, FL 33609-1122 | 2017-10-24 |
| Find all providers in TAMPA | ||||
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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.