COMPLETE LOCAL SPECIALTY CARE, INC (NPI# 1538155262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538155262 |
| Entity Type | Organization |
| Organization Name | COMPLETE LOCAL SPECIALTY CARE, INC |
| Other Organization Name | CLSC |
| Practice Address |
5355 Lyons Rd Coconut Creek FL 33073-2825 |
| Mailing Address |
4855 W. Hillsboro Blvd Ste B2 Coconut Creek FL 33073-4356 |
| Practice Telephone | 9545709595 |
| Mailing Telephone | 9544181683 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | CHANTAL BRAY (ADMINISTRATOR) |
| Authorized Official Telephone | 9544181683 |
| Authorized Official Credential | BA |
| 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 | MEDICARE PTAN | 74562 | 01 |
| FL | 268799200 | 05 |
| Other Name | Type Code |
|---|---|
| CLSC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750377453 | Complete Local Specialty Care, Inc | Family Medicine | 2500 E Hallandale Beach Blvd, Ste 301, Hallandale Beach, FL 33009 | 2005-09-27 |
| Street Address |
5355 LYONS RD |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33073-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600723 | Deija Dorothie Badia | Nurse Practitioner | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2019-10-09 |
| 1356702930 | Gabriela Lopez Botero | Physician Assistant | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2016-03-10 |
| 1205254984 | Jean-max Alce | Physician Assistant | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2014-03-31 |
| 1669669578 | Carolyn Maldonado-garcia | Family Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2007-09-25 |
| 1346319118 | Carlos Martinez-solis | Internal Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2006-11-07 |
| 1124111224 | Jean Claude Jean | Internal Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2006-10-02 |
| 1952377277 | Anamaria Apoltan | Internal Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2006-02-27 |
| 1841288446 | Leonel Gras | Physician Assistant | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2005-10-10 |
| 1013905744 | Victoria Perez | Physician Assistant | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2005-10-06 |
| 1649268475 | Rochel G Gelinas | Family Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2005-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796275 | Mireille Alexis | Prosthetist | 4376 Fl-7, Coral Springs, FL 33073 | 2020-10-08 |
| 1811506173 | Josee Helene Beaudry | Registered Nurse | 7700nw 48th Ave, Coconut Creek, FL 33073 | 2020-07-23 |
| 1700426210 | Stanback Enterprises LLC | Behavioral Analyst | 5561 North Winston Park Boulevard, Apartment 203, Coconut Creek, FL 33073 | 2020-01-13 |
| 1336701101 | Elissa N Tricoche | Behavior Technician | 5500 Hillsboro Blvd, Suite 208, Coconut Creek, FL 33073 | 2019-07-02 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1518420058 | Balance Wellness Therapy Inc | Massage Therapist | 5853 Nw 40th Ave, Coconut Creek, FL 33073 | 2019-04-11 |
| 1497231336 | Brcastrong Corp | Health Educator | 4535 Nw 50th Court, Coconut Creek, FL 33073 | 2018-07-13 |
| 1851885156 | Cintia D Kopecny | Dentist | 5350 W Hillsboro Blvd Ste 201, Coconut Creek, FL 33073 | 2018-06-20 |
| 1720576721 | Sherell Breus | Driver | 4911 W Sample Rd, Coconut Creek, FL 33073 | 2018-04-25 |
| 1376053769 | Christiane Santana | Acupuncturist | 2300 W Sample Rd Ste 213, Pompano Beach, FL 33073 | 2017-10-11 |
| Find all providers in zip 33073 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010006 | Gary Alan Cooperstein | Family Medicine | Coconut Creek Plaza, 4450 Fl-7 #1, Coconut Creek, FL 33073-3382 | 2005-08-10 |
| 1073114211 | Lifecare Specialty Clinics Inc | Family Medicine | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2020-11-04 |
| 1376186437 | Anissa Rodriguez | Family Medicine | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2019-10-22 |
| 1366916231 | Ubaldo A Miranda | Family Medicine | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2019-01-14 |
| 1285107250 | Mcci Group Holdings LLC | Family Medicine | 1301 Lyons Rd, Coconut Creek, FL 33063-3900 | 2019-01-02 |
| 1194175471 | Physicians Choice Group, Inc. | Family Medicine | 5489 Wiles Rd, Suite 302, Coconut Creek, FL 33073-4220 | 2016-06-16 |
| 1841688462 | Etelmed Md Network | Family Medicine | 5489 Wiles Rd, Suite 302, Coconut Creek, FL 33073-4220 | 2015-01-05 |
| 1801157680 | Maria Paula Martinez Munevar | Family Medicine | 1301 Lyons Rd, Coconut Creek, FL 33063-3900 | 2012-06-07 |
| 1346401338 | North Broward Hospital District | Family Medicine | 4800 W Hillsboro Blvd, Suite A6, Coconut Creek, FL 33073-4330 | 2008-06-23 |
| 1669669578 | Carolyn Maldonado-garcia | Family Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2007-09-25 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33073 |
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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.