The Fidelity Health Care Group Florida, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE FIDELITY HEALTH CARE GROUP FLORIDA, LLC

Practice address

1065 SW 8TH St Unit 135
Miami, FL 33130-3601

Phone

(305) 363-2889

NPI assigned

Sep 19, 2020

Organization subpart

No

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

Authorized official

Name

Qaran Glenn

Title

Ceo

Phone

(305) 363-2889

Specialties & licenses 1

Addresses

Other names 1

• THE FIDELITY HEALTH CARE GROUP, LLC Doing business as

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1174139745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SW 8TH ST UNIT 135",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SW 8TH ST UNIT 135",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303601",
            "telephone_number": "305-363-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FIDELITY HEALTH CARE GROUP FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "QARAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-363-2889"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE FIDELITY HEALTH CARE GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE FIDELITY HEALTH CARE GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.