Caremax Medical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CAREMAX MEDICAL CENTER, LLC

Practice address

460 Malabar Road SE
Palm Bay, FL 32907

Phone

(321) 325-6420

Fax

(321) 325-6421

NPI assigned

Jun 16, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CAREMAX MEDICAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Joseph N De Vera

Title

Ra

Phone

(305) 649-8100

Specialties & licenses 1

Addresses

Part of

Caremax Medical Center LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Caremax Medical Center, LLC

  • Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1801175369
  NPPES parent name

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1164107355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MALABAR ROAD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-325-6420",
            "fax_number": "321-325-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREMAX MEDICAL CENTER, LLC",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "RA",
        "authorized_official_telephone_number": "305-649-8100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Capellan
• Shelby Marie Capistrano, CSLPA
• Staci L Capistrano, APRN-C
• Elizabeth Carbo
• Kirk Thomas Cardone, RPH
• Caremax Medical Centers of Central Florida, LLC
• Caretenders Visiting Services of District 7, LLC (Mederi Caretenders)
• Caring Hearts Private Care LLC
• Caring Manor LLC
• Carl D Acquaviva (Acquaviva's Pharmacy)

• Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.