Organization Active NPI

CQC Healthcare PA

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1215476239
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CQC HEALTHCARE PA
Practice address
1600 S Federal Hwy Ste 550
Pompano Beach, FL 33062-7518
Phone
(786) 207-4788
Fax
(954) 568-8630
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Dr. Sidney Coupet, DONPI 1285803262
Title
President
Phone
(786) 207-4788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1600 S Federal Hwy Ste 550
Pompano Beach, FL 33062-7518

Mailing address

PO Box 91
Hallandale Beach, FL 33008-0091
Phone (814) 449-3605

Other practice location 1

3816 Hollywood Blvd Ste 205
Hollywood, FL 33021-6750
Phone (786) 207-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170922000973 FL Part B Supplier - Clinic/Group Practice 7113291642 Receives reassigned benefits from 5 practitioners
Practice locations: Hollywood, FL; Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2332379CQC Healthcare Systems1600 S Federal Hwy, Suite 550, Pompano Beach, FL 33062Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

6041 Kimberly Blvd
Ste L
North Lauderdale, FL 33068
Phone (786) 207-4788

4101 S Hospital Dr
Ste 15B
Plantation, FL 33317
Phone (786) 207-4788

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1215476239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330080091",
            "telephone_number": "814-449-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 550",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627518",
            "telephone_number": "786-207-4788",
            "fax_number": "954-568-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3816 Hollywood Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216750",
            "country_code": "US",
            "telephone_number": "786-207-4788",
            "fax_number": "954-568-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CQC HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "COUPET",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-207-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.