METCARE OF FLORIDA, INC. (NPI# 1679964555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679964555 |
| Entity Type | Organization |
| Organization Name | METCARE OF FLORIDA, INC. |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
1233 Se Indian St Suite 103 Stuart FL 34997-5689 |
| Mailing Address |
6101 Blue Lagoon Dr Suite 400 Miami FL 33126-2055 |
| Practice Telephone | 7722860552 |
| Practice Fax Number | 7722867574 |
| Mailing Telephone | 3055002114 |
| Mailing Fax Number | 3053706024 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | GEMMA ROSELLO (V.P. OPEARATIONS) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | METROPOLITAN HEALTH NETWORKS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | CX415A | 01 |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| Conviva Care Center Stuart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134504855 | Metcare of Florida, Inc. | Family Medicine | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 | 2015-07-23 |
| 1851782726 | Metcare of Florida, Inc. | Family Medicine | 840 Us Highway 1, Suite 400, North Palm Beach, FL 33408-3830 | 2015-02-12 |
| Street Address |
1233 SE INDIAN ST SUITE 103 |
| City | STUART |
| State | FL |
| Zip Code | 34997-5689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1114461977 | Mehan Medical Consulting LLC | Internal Medicine | 509 Se Riverside Dr Ste 300, Stuart, FL 34994-2579 | 2016-12-14 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1750756276 | Doctors House Calls of Florida, LLC | Internal Medicine | 1239 Se Indian St Ste 102, Stuart, FL 34997-5633 | 2015-12-09 |
| 1144631979 | Lindsey Patterson | Internal Medicine | 2150 Se Salerno Rd Ste 200, Stuart, FL 34997-6572 | 2014-05-14 |
| 1942437090 | Valerie Anne Barrett | Internal Medicine | 2410 N Federal Hwy, Stuart, FL 34994 | 2009-06-16 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1649456443 | Physician On Call LLC | Internal Medicine | 850 Nw Federal Hwy, Suite 151, Stuart, FL 34994-1000 | 2008-01-11 |
| 1598951949 | Carl C Gittens Md Pa | Internal Medicine | 789 Sw Federal Hwy Ste 212, Stuart, FL 34994-2962 | 2007-09-19 |
| 1881894871 | Gloria Garcia | Internal Medicine | 2021 Se Riverside Dr, Stuart, FL 34996-1209 | 2007-07-19 |
| 1679780563 | Benjamin John Ngo | Internal Medicine | 509 Se Riverside Dr Ste 301, Stuart, FL 34994 | 2007-05-17 |
| Find all providers in STUART | ||||
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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.