NPIMap

Organization Active NPI

South Florida Family Health and Research Centers, LLC.

Doing business as Lice Cleanique

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1053548537
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
HCC8585 Issued in FL
Legal business name
SOUTH FLORIDA FAMILY HEALTH AND RESEARCH CENTERS, LLC.
Doing business as
Lice Cleanique
South Florida Family Health & Research Centers
Practice address
13500 SW 88TH STR
Suite 175
Miami, FL 33186-1528
Phone
(305) 387-0051
Fax
(305) 387-0053
NPI assigned
Jun 11, 2009
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Timothy Rivera
Title
Authorized Official
Phone
(305) 387-0081

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC8585 FL
Health Service Clinic/Center 261QH0100X HCC8585 FL
Multi-Specialty Clinic/Center 261QM1300X HCC8585 FL
Primary Care Clinic/Center 261QP2300X HCC8585 FL Primary
Research Clinic/Center 261QR1100X HCC8585 FL
Student Health Clinic/Center 261QS1000X HCC8585 FL

Addresses

Primary practice location

13500 SW 88TH STR
Suite 175
Miami, FL 33186-1528

Mailing address

13500 SW 88TH St Ste 175
Miami, FL 33186-1528
Phone (305) 387-0081

Other names 3

  • Lice Cleanique Doing business as
  • South Florida Family Health & Research Centers Doing business as
  • Lice Cleanique, LLC. Former legal business name

National Provider Directory

National Provider Directory

Locations

13500 SW 88th St
Ste 175
Miami, FL 33186
Phone (305) 387-0051

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1053548537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST STE 175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861528",
            "telephone_number": "305-387-0081",
            "fax_number": "305-387-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH STR",
            "address_2": "SUITE 175",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861528",
            "telephone_number": "305-387-0051",
            "fax_number": "305-387-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA FAMILY HEALTH AND RESEARCH CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-387-0081"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8585",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC8585",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC8585",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC8585",
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "FL",
            "license": "HCC8585",
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "FL",
            "license": "HCC8585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Cleanique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Family Health & Research Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lice Cleanique, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.