CCG OF SOUTH FLORIDA LLC


Address: 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146
Phone: 9542557310

CCG OF SOUTH FLORIDA LLC (NPI# 1497034086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497034086
Entity Type Organization
Organization Name CCG OF SOUTH FLORIDA LLC
Practice Address 2901 Coral Hills Dr
Suite 360
Coral Springs
FL 33065-4146
Practice Telephone 9542557310
Practice Fax Number 9542557311
Mailing Telephone 9542557310
Mailing Fax Number 9542557311
Enumeration Date 2011-08-12
Last Update Date 2011-08-12
Authorized Official Name MARIO B PEREIRA (PRESIDENT)
Authorized Official Telephone 9542557310
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 2901 CORAL HILLS DR
SUITE 360
City CORAL SPRINGS
State FL
Zip Code 33065-4146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881680502 Heart Care of South Florida Pa Internal Medicine 2901 Coral Hills Dr, Suite 240, Coral Springs, FL 33065-4146 2005-09-27
1629513981 Maria Calzadilla Nurse Practitioner 2901 Coral Hills Dr, Suite 370, Coral Springs, FL 33065-4146 2016-12-22
1437496296 Cesil Keshishian Pharmacist 2901 Coral Hills Dr, Suite 120, Coral Springs, FL 33065-4146 2013-01-13
1477890721 Vijaya L Babu Md Pa Obstetrics & Gynecology 2901 Coral Hills Dr, Suite 350, Coral Springs, FL 33065-4146 2013-01-07
1558618488 Adult & Geriatric Center of South Florida, LLC Family Medicine 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146 2012-08-09
1255699336 Steven Greenberg, M.d.,pa. Specialist 2901 Coral Hills Dr, Suite 300, Coral Springs, FL 33065-4146 2012-04-26
1750670139 John Edward Bell, D.o., P.a. Physical Medicine & Rehabilitation 2901 Coral Hills Dr, Suite 250, Coral Springs, FL 33065-4146 2011-04-06
1265749659 Xochil Echeona Clinical Nurse Specialist 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146 2010-09-07
1548411457 Simon Chi-hin Wong Internal Medicine 2901 Coral Hills Dr, Suite 250, Coral Springs, FL 33065-4146 2008-10-09
1124292669 Dr Arthur B Korbel Inc Podiatrist 2901 Coral Hills Dr, Suite 220, Coral Springs, FL 33065-4146 2008-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740899418 United Adult Care Services, LLC Home Health 11448 West Sample Rd, Coral Springs, FL 33065 2020-07-28
1245872068 Grace Diana Perez Developmental Therapist 3325 N University Drive, Coral Springs, FL 33065 2019-10-14
1497397210 Anjulia Maureen Nicholson Speech-Language Pathologist 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 2019-10-14
1467911131 Sawgrass Medical Supplies LLC Durable Medical Equipment & Medical Supplies 12415 Nw 35 Street, Coral Springs, FL 33065 2019-03-13
1992274252 Kayon Shepherd Dermatology 7837 West Sample Rd, #127, Coral Springs, FL 33065 2018-11-15
1073009148 Empire Detox, LLC Clinic/Center 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 2018-07-02
1487148706 Perfect Balance Healthcare, Pllc Pharmacist 7500 Live Oak Dr., Coral Springs, FL 33065 2018-06-20
1477051498 Neuro Wellness Centers of America, LLC Clinic/Center 9734 W Sample Rd, Coral Springs, FL 33065 2018-01-24
1821502550 Happy Adult Day Care Rehab, LLC Clinic/Center 7463 W Sample Rd, Coral Springs, FL 33065 2017-11-16
1821500059 I'd Rather Be Home Homecare Services LLC Registered Nurse 7501 Nw 42nd Drive, Coral Springs, FL 33065 2017-10-27
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578179883 Centrum Medical Holdings, LLC Internal Medicine 1801 N University Dr Ste 101, Coral Springs, FL 33071-6003 2020-09-22
1831689512 Primary Care Physicians of Hollywood, Pl Internal Medicine 8880 Royal Palm Blvd Ste 105, Coral Springs, FL 33065-5727 2018-05-17
1629509591 Ronald Pham Internal Medicine 8190 Royal Palm Blvd Ste 100, Coral Springs, FL 33065-5706 2017-03-22
1902285703 J&j Comprehensive Medical Care LLC Internal Medicine 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 2015-05-26
1164859070 Doctor On Wheels Pllc Internal Medicine 5645 Coral Ridge Drive, Suite 142, Coral Springs, FL 33076 2013-10-09
1235495300 Karen Adriana Lovera Internal Medicine 8327 West Atlantic Blvd, Healthcare Partners of South Florida, Coral Springs, FL 33071-6220 2012-04-03
1205157187 Senior Care Medical Ctr Internal Medicine 9750 Nw 33rd Street, Suite # 212, Coral Springs, FL 33065-4042 2010-06-15
1598085797 Canyon Gate Medical Group LLC Internal Medicine 2929 N. University Dr., Suite # 110, Coral Springs, FL 33065-5081 2010-06-10
1083858930 Shawnette Simone Saddler Internal Medicine 9750 Nw 33rd St Ste 202, Coral Springs, FL 33065-4081 2009-04-22
1497920474 Silvio Xavier Avilez Cerna Internal Medicine 6264 W Sample Rd, Coral Springs, FL 33067-3273 2008-04-29
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Competitor

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City CORAL SPRINGS
Zip Code 33065

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Dataset Information

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.

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