MCCI GROUP HOLDINGS LLC (NPI# 1609349687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609349687 |
| Entity Type | Organization |
| Organization Name | MCCI GROUP HOLDINGS LLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
1460 E Hallandale Beach Blvd Hallandale Beach FL 33009-4617 |
| Mailing Address |
551856 Us Highway Suite 108 Hilliard FL 32046 |
| Practice Telephone | 9544552385 |
| Practice Fax Number | 9544545994 |
| Mailing Telephone | 9048622482 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | GEMMA ROSELLO (OFFICER) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCI GROUP HOLDINGS LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905004 | Mcci Group Holdings LLC | Family Medicine | 551856 Us Highway, Suite 108, Hilliard, FL 32046 | 2019-01-04 |
| 1770056673 | Mcci Group Holdings LLC | Internal Medicine | 5317 W Atlantic Ave Ste 104, Delray Beach, FL 33484-8175 | 2019-01-03 |
| 1184197097 | Mcci Group Holdings LLC | Family Medicine | 5350 W Atlantic Ave Ste 100, Delray Beach, FL 33484-8112 | 2019-01-03 |
| 1083187827 | Mcci Group Holdings LLC | Family Medicine | 463646 Sr 200 West, Suite 12, Yulee, FL 32097 | 2019-01-04 |
| 1629541537 | Mcci Group Holdings LLC | Internal Medicine | 9121 N Military Trl Ste 111, Palm Beach Gardens, FL 33410-5985 | 2019-01-03 |
| 1932672748 | Mcci Group Holdings LLC | Internal Medicine | 7200 Normandy Blvd Ste 20, Jacksonville, FL 32205-6271 | 2019-01-03 |
| 1649743451 | Mcci Group Holdings LLC | Family Medicine | 25 University Blvd N, Jacksonville, FL 32211-7550 | 2019-01-03 |
| 1770056681 | Mcci Group Holdings LLC | Internal Medicine | 5238-16 Norwood Ave, Jacksonville, FL 32208-5005 | 2019-01-03 |
| 1700359619 | Mcci Group Holdings LLC | Internal Medicine | 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 | 2019-01-03 |
| 1518430420 | Mcci Group Holdings LLC | Family Medicine | 11744 Beach Blvd Ste 107, Jacksonville, FL 32246-8476 | 2019-01-03 |
| Street Address |
1460 E HALLANDALE BEACH BLVD |
| City | HALLANDALE BEACH |
| State | FL |
| Zip Code | 33009-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346399409 | Leon Roth | Internal Medicine | 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 | 2007-01-09 |
| 1952771842 | Rma Medical Centers of Florida LLC | Internal Medicine | 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 | 2015-10-05 |
| 1548519119 | Rma of Hallandale LLC | Internal Medicine | 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499466 | Maia Powell | Doula | 634 Nw 4th Court, Hallandale Beach, FL 33009 | 2018-09-02 |
| 1578057188 | War Network LLC | Clinic/Center | 137 Se 1st Ave, Hallandale Beach, FL 33009 | 2018-06-18 |
| 1700378742 | Vip Cardiology Center LLC | Family Medicine | 2500 E Hallandale Beach Blvd Ste 207, Hallandale Beach, FL 33009 | 2018-06-05 |
| 1831681055 | Ssd Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1000 W Pembrooke Rd, Suite 303, Hallandale Beach, FL 33009 | 2018-06-04 |
| 1366943466 | Imed Advisory LLC | General Practice | 2100 E Hallandale Beach Blvd Ste 402, Hallandale Beach, FL 33009 | 2018-02-23 |
| 1891164059 | Raphael Arwas | Dentist | 1440 E. Hallandale Beach Blvd, Hallandale, FL 33009 | 2015-09-17 |
| 1083092746 | Florida Good Faith Investors LLC. | Non-emergency Medical Transport (VAN) | 1001 N Federal Hwy,ste 246, Suite 349, Hallandale Beach, FL 33009 | 2015-05-14 |
| 1235534058 | Aventura Open Mri, Inc | Clinic/Center | 815 Se 1st Avenue, Suite B, Hallandale, FL 33009 | 2014-10-23 |
| 1437578549 | Beach Club Adult Center, LLC | Clinic/Center | 2500 Hallandale Blvd, Suite T, Hallandale Beach, FL 33009 | 2014-04-16 |
| 1093142747 | Grace Maher Reynolds | Internal Medicine | 1849 South Ocean Dr. Pts 911, Hallandale Beach, FL 33009 | 2013-09-26 |
| Find all providers in zip 33009 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073908752 | Fulvia Carmen Banu | Internal Medicine | 1724 E Hallandale Beach Blvd # 2a, Hallandale Beach, FL 33009-4611 | 2015-03-31 |
| 1093142747 | Grace Maher Reynolds | Internal Medicine | 1849 South Ocean Dr. Pts 911, Hallandale Beach, FL 33009 | 2013-09-26 |
| 1750518338 | Atlantic Coast Specialists Inc | Internal Medicine | 1755 E Hallandale Beach Blvd, Unit 2202e, Hallandale Beach, FL 33009-4684 | 2009-06-22 |
| 1265479315 | Chiapone David Ting | Internal Medicine | 1117 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4488 | 2006-05-31 |
| 1770546210 | Norman Palgon | Internal Medicine | 410 East Hallandale Beach Blvd, Chen Medical Hallandale, Inc, Hallandale Beach, FL 33009-5584 | 2006-04-07 |
| 1043751068 | Personal Physician Management Group of Hallandale, Inc. | Internal Medicine | 2100 E Hallandale Beach Blvd, Suite # 307, Hallandale Beach, FL 33009-3765 | 2017-03-09 |
| 1922547942 | Yiliam Castillo | Internal Medicine | 1740 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4611 | 2017-02-23 |
| 1720430101 | Florida Heart Clinic, LLC | Internal Medicine | 2500 E Hallandale Beach Blvd, Suite 811, Hallandale Beach, FL 33009-4834 | 2016-07-08 |
| 1871957423 | Justine Cara Goldberg | Internal Medicine | 410 E Hallandale Beach Blvd, Hallandale Beach, FL 33009 | 2016-04-11 |
| 1952771842 | Rma Medical Centers of Florida LLC | Internal Medicine | 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 | 2015-10-05 |
| Find all providers in HALLANDALE BEACH | ||||
| City | HALLANDALE BEACH |
| Zip Code | 33009 |
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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.