Organization Active NPI

Intensive Care Experts Health Network LLC

  • Pulmonary Disease Physician
  • Hallandale Beach, FL
National Provider Identifier
1164824397
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
INTENSIVE CARE EXPERTS HEALTH NETWORK LLC
Practice address
701 N Federal Hwy # 601
Hallandale Beach, FL 33009-2449
Phone
(954) 482-4747
Fax
(954) 301-5939
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Eric Jarquin
Title
Financial Controller
Phone
(954) 651-8332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

701 N Federal Hwy # 601
Hallandale Beach, FL 33009-2449

Mailing address

701 N Federal Hwy # 601
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

Other practice location 1

5590 W 20th Ave Ste 202
Hialeah, FL 33016-7061
Phone (954) 482-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150427001036 FL Part B Supplier - Clinic/Group Practice 6608195599 Receives reassigned benefits from 145 practitioners
O20250530001057 OH Part B Supplier - Clinic/Group Practice 6608195599 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Cleveland, OH; Columbus, OH; Lancaster, OH; Middleburg Heights, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5590 W 20th Ave
Ste 202
Hialeah, FL 33016
Phone (305) 823-7151

125 Alma Blvd
Merritt Island, FL 32953
Phone (321) 453-0202

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1164824397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY # 601",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092449",
            "telephone_number": "954-482-4747",
            "fax_number": "954-301-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY # 601",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092449",
            "telephone_number": "954-482-4747",
            "fax_number": "954-301-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5590 W 20th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330167061",
            "country_code": "US",
            "telephone_number": "954-482-4747",
            "fax_number": "954-301-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTENSIVE CARE EXPERTS HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "JARQUIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "954-651-8332"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.