SAVICO MEDICAL ASSOCIATES, INC. (NPI# 1154611036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154611036 |
| Entity Type | Organization |
| Organization Name | SAVICO MEDICAL ASSOCIATES, INC. |
| Other Organization Name | SAVICO MEDICAL CENTER |
| Practice Address |
18356 Nw 47th Ave Miami Gardens FL 33055-2934 |
| Mailing Address |
17439 Nw 66th Ct Hialeah FL 33015-4431 |
| Practice Telephone | 3059745750 |
| Practice Fax Number | 3057574443 |
| Mailing Telephone | 3059745750 |
| Mailing Fax Number | 3057574443 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | DR. COMFORT OMOBOLA ADEWUMI (PRESIDENT/PHYSICIAN DIRECTOR/OWNER) |
| Authorized Official Telephone | 3057574442 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OS8579 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275310300 | 05 |
| Other Name | Type Code |
|---|---|
| Savico Medical Center | Doing Business As Name - Organization |
| Street Address |
18356 NW 47TH AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477505758 | Comfort Omobola Adewumi | Internal Medicine | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2006-05-16 |
| 1598380826 | Jtj Medical Supply Inc | Pharmacy | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2020-06-12 |
| 1164829099 | Star Family Health Inc | Family Medicine | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2014-11-20 |
| 1003226549 | Family Med Choice, Inc | Clinic/Center | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2014-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162204 | Sunshine Home Health Care | Clinic/Center | 3820 Nw 183rd St Apt 105, Miami Gardens, FL 33055-2881 | 2017-08-30 |
| 1013559590 | Medcare Centers, LLC | Clinic/Center | 4767 Nw 183rd St, Miami Gardens, FL 33055-2933 | 2019-10-16 |
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|---|---|---|---|---|
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| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
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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.