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).
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 |
|
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 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 |
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 |
Street Address |
5849 OKEECHOBEE BLVD STE 301 |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33417-4352 |
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 |
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 |
Find all providers in zip 33417 |
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 |
---|---|---|---|---|
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 |
City | WEST PALM BEACH |
Zip Code | 33417 |
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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.