MCCI GROUP HOLDINGS LLC


Address: 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352
Phone: 5616834008

MCCI GROUP HOLDINGS LLC (NPI# 1700359619) 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) 1700359619
Entity Type Organization
Organization Name MCCI GROUP HOLDINGS LLC
Other Organization Name CONVIVA CARE CENTER
Practice Address 5849 Okeechobee Blvd Ste 301
West Palm Beach
FL 33417-4352
Mailing Address 6101 Blue Lagoon Dr Ste 400
Miami
FL 33126-2051
Practice Telephone 5616834008
Practice Fax Number 5616830532
Mailing Telephone 3055002000
Enumeration Date 2019-01-03
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Conviva Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
1518430420 Mcci Group Holdings LLC Family Medicine 11744 Beach Blvd Ste 107, Jacksonville, FL 32246-8476 2019-01-03
1578036489 Mcci Group Holdings LLC Internal Medicine 1786 Blanding Blvd Ste 3, Middleburg, FL 32068-3804 2019-01-03

Office Location

Street Address 5849 OKEECHOBEE BLVD STE 301
City WEST PALM BEACH
State FL
Zip Code 33417-4352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467490623 Alex Rosen Internal Medicine 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 2006-06-02
1902355787 Sadia Altidore Nurse Practitioner 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 2016-09-22
1114388980 Mindi Ellen Cervi Nurse Practitioner 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 2016-03-08
1750768784 Jonier R Rodriguez Internal Medicine 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 2015-04-28
1821373135 Nesha-gay Joan Edwards Internal Medicine 5849 Okeechobee Blvd Ste 301, West Palm Beach, FL 33417-4352 2011-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649740838 Anthony Armour Massage Therapist 3280 Anthony Cir N, West Palm Beach, FL 33417 2018-11-29
1811473432 My Visiting Provider General Practice 100 Century Blvd Ste 201, West Palm Beach, FL 33417 2018-07-17
1861911240 Darlene Izquierdo Behavioral Analyst 2244 49th Dr N, West Palm Beach, FL 33417 2017-09-16
1942690409 Rispler Podiatry Inc Podiatrist 5930 Okeechobee Boulevard, West Palm Beach, FL 33417 2015-02-04
1386910305 Integrative Foot and Ankle LLC Podiatrist 5405 Okeechobee Blvd #303, West Palm Beach, FL 33417 2012-03-23
1285913780 Edwin Rivera Counselor 4427 Willow Pond Road, West Palm Beach, FL 33417 2011-08-15
1306130281 Morselife Hospice Institute, Inc. Clinic/Center 4855 Fred Gladstone Dr, West Palm Beach, FL 33417 2011-06-08
1972827061 Palm Beach Foot & Ankle Inc Podiatrist 110 Century Village Blvd., West Palm Beach, FL 33417 2010-03-18
1558485722 Morselife Home Care Inc. Home Health 4920 Loring Drive, West Palm Beach, FL 33417 2007-03-16
1427169440 Dmd Pharmacy Services LLC Durable Medical Equipment & Medical Supplies 110 Century Village Blvd, 1st Floor, West Palm Beach, FL 33417 2006-08-31
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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
1265065429 Baikal Marketing Group Inc. Internal Medicine 2500 Metrocentre Blvd Ste 7, West Palm Beach, FL 33407-3107 2020-02-17
1427517531 Prime Care Family Health Centers Inc Internal Medicine 1747 45th St, West Palm Beach, FL 33407-2167 2019-03-18
1053899179 Margarette Jerome Internal Medicine 13348 62nd Ct N, West Palm Beach, FL 33412-1944 2018-07-31
1821474941 Gabriela Goldstein Md Pa Internal Medicine 1411 N Flagler Dr Ste 6000, West Palm Beach, FL 33401-3416 2015-07-31
1730578451 Healing Hearts Holistic Center Internal Medicine 2351 Vista Pkwy, Ste 500, West Palm Beach, FL 33411-6726 2015-01-19
1124420542 Manuel Abreu Md Pa Internal Medicine 3472 Forest Hill Blvd Ste 3b, West Palm Beach, FL 33406-5864 2014-09-17
1407269301 Eric Daniel Medina Internal Medicine 2000 Palm Beach Lakes Blvd. Suite #400, West Palm Beach, FL 33409 2014-06-09
1164859369 Steven Kanner Do Pllc Internal Medicine 2051 45th St Ste 303, West Palm Beach, FL 33407-2031 2013-10-02
1083956163 Jessica Amelia Porter Internal Medicine 724 Cresta Cir, West Palm Beach, FL 33413-1082 2013-03-26
1215277041 David E Cohen Internal Medicine 7173 Tradition Cove Ln W, West Palm Beach, FL 33412-3017 2013-02-14
Find all providers in WEST PALM BEACH

Competitor

Search similar providers

City WEST PALM BEACH
Zip Code 33417

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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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