Clinique Medmanagement Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINIQUE MEDMANAGEMENT GROUP, LLC

Doing business as

La Clinique Soleil

Practice address

750 S Federal Hwy
Hollywood, FL 33020-5424

Phone

(954) 342-8800

NPI assigned

Nov 28, 2007

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandro Bacchelli Jr., M.D.NPI 1134106487

Title

M.D./Owner

Phone

(954) 342-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• La Clinique Soleil Doing business as

Practitioners 3

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.

• Sandro Bacchelli, MD

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1134106487
  Authorized official Same address or phone
• Gilberto Rodriguez, PA-C

  • Medical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1881084077
  NPD
• Martin E Coleman, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1619902467
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1063694446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205424",
            "telephone_number": "954-342-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205424",
            "telephone_number": "954-342-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIQUE MEDMANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "BACCHELLI",
        "authorized_official_first_name": "SANDRO",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "954-342-8800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Clinique Soleil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Valentina Clinton
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• Jessica L Co, MSN, APRN, RN
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• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.