Continucare Medical Management, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC 5463 Issued in FL

Legal business name

CONTINUCARE MEDICAL MANAGEMENT, INC.

Practice address

6971 W Sunrise Blvd
Suite 201
Plantation, FL 33313-4407

Phone

(954) 321-7700

Fax

(954) 584-4514

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Gemma Rosello

Title

Vice President

Phone

(305) 500-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Continucare Medical Center Other name

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1093733487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR",
            "address_2": "SUITE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262055",
            "telephone_number": "305-500-2114",
            "fax_number": "305-370-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-321-7700",
            "fax_number": "954-584-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUCARE MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-500-2000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC 5463",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001887106",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Continucare Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bruce Howard Conan, OD
• John Conn
• Richard Wilson Conrey, CPO, PT
• Continucare Medical Group - Plantation
• Continucare Medical Management, Inc
• Continuous Care
• Michelle Contreras
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC
• Conviva Medical Center Management LLC

• Multi-Specialty Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.