Michael Clifford Hurwitz

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

171240123 Issued in FL

Practice address

1761 Nightingale LN
Tavares, FL 32778-4315

Phone

(352) 253-5100

Fax

(352) 253-5140

NPI assigned

Oct 15, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osprey Lodge LLC

  • Assisted Living Facility
  • Tavares, FL
  • NPI 1528482726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1003414665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784315",
            "telephone_number": "352-253-5100",
            "fax_number": "352-253-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 NIGHTINGALE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784315",
            "telephone_number": "352-253-5100",
            "fax_number": "352-253-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ",
        "first_name": "MICHAEL",
        "middle_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "171240123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tavares",
            "affiliation": "N",
            "endpointDescription": "Osprey Lodge Assisted Living",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1761 Nightingale Ln",
            "city": "Tavares",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327784315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Home First Comprehensive Family Services, Inc
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• Hospital Care Associates PA
• Vestali A Hudak
• Randolph Gray Hunter, MD
• Kristen Idowu
• Infectious Disease of Lake County,LLC
• Innovative Homcare, LLC.
• Innovative Homecare, LLC.
• Interactive ABA Services

• Community Health Worker in Tavares, FL
• Providers in Tavares, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.